MARY PAT DEGAGNE PNP
NPI 1326151374
Nurse Practitioner - Pediatrics in Santa Rosa, CA

Active since August 16, 2006
500 DOYLE PARK DR, SUITE 100, SANTA ROSA, CA 95405(707) 544-6090(707) 544-2389 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Pat Degagne Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PAT DEGAGNE PNP (NPI 1326151374) is an individual pediatrics provider in Santa Rosa, California, licensed in California (225) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1326151374
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY PAT DEGAGNECredential: PNP
Location Address500 DOYLE PARK DR, SUITE 100Santa Rosa, CA 95405-4558
Mailing Address500 Doyle Park Dr, Suite 100Santa Rosa, CA 95405-4558 · (707) 544-6090 · Fax (707) 544-2389
Fax(707) 544-2389
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1326151374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 225
500 DOYLE PARK DR, Santa Rosa, CA 95405

Other Identifiers 1

Other366801 RNCA · Rn License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
500 DOYLE PARK DR, SUITE G-04
SANTA ROSA, CA 95405
Nurse Practitioner (Family)
500 DOYLE PARK DR, SUITE 103
SANTA ROSA, CA 95405
Family Medicine
500 DOYLE PARK DR, SUITE G04
SANTA ROSA, CA 95405
Internal Medicine (Cardiovascular Disease)
500 DOYLE PARK DR, SUITE G05
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 DOYLE PARK DR, SUITE G-05
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, SUITE 300
SANTA ROSA, CA 95405
Pediatrics
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pat Degagne's NPI number?

The NPI number for Mary Pat Degagne is 1326151374. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Mary Pat Degagne located?

Mary Pat Degagne practices at 500 Doyle Park Dr Suite 100, Santa Rosa, CA 95405. The listed phone number is (707) 544-6090.

What is Mary Pat Degagne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Pat Degagne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.