Dretona Tenese Maddox in Riverside - Community Health
Dretona Tenese Maddox - NPI 1417083643
Dretona Tenese Maddox is a Community Health in Riverside, California. Dretona Tenese Maddox practices all healthcare services and medical treatments related to Community Health. The NPI Number for Dretona Tenese Maddox is 1417083643. The last update date is 2023-08-08.
Dretona Tenese Maddox's current location address is 1410 3rd St, Riverside, California. You can contact this provider via phone number 9094710697 and fax number 7603027607. The mailing address for Dretona Tenese Maddox is 1410 3rd St, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dretona Tenese Maddox |
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Address | 1410 3rd St, Riverside, California |
Phone Number | 9094710697 |
Fax Number | 7603027607 |
Sole Proprietor | N |
Credentials | RN, PHN, L |
NPI Number Detail
NPI Number | 1417083643 |
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Provider Enumeration Date | 2007-02-23 |
Last Updated Date | 2023-08-08 |
Provider Mailing Address Detail
Address | 1410 3rd St |
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City | Riverside |
State | California (CA) |
Post Code | 925073482 |
Phone Number | 9094710697 |
Fax Number | 7603027607 |
Provider's Primary Taxonomy Detail
Speciality | Community Health |
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Taxonomy | 163Wc1500X |
Licence No | 618042 |
Definition: A registered nurse who improves the health of entire communities and populations. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
RVN004760 | CA | -- | |
EPS016610 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dretona Tenese Maddox by the Centers for Medicare & Medicaid Services (CMS)?
The Dretona Tenese Maddox has been assigned the NPI (National Provider Identifier) 1417083643. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Dretona Tenese Maddox?
The Dretona Tenese Maddox is situated at 1410 3Rd St, in the city of Riverside, state of CA, with the zip code 925073482.
What is the area of specialization for Dretona Tenese Maddox, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dretona Tenese Maddox is Community Health, and the corresponding taxonomy code that categorizes this area of expertise is 163Wc1500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417083643 to Dretona Tenese Maddox?
The Centers for Medicare & Medicaid Services originally issued the 1417083643 to Dretona Tenese Maddox on 2007-02-23.
As of what date were the details related to Dretona Tenese Maddox most recently updated or revised?
The information pertaining to Dretona Tenese Maddox, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-08.
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