Dretona Tenese Maddox in Riverside - Continuing Education/staff Development

Dretona Tenese Maddox - NPI 1417083643

Dretona Tenese Maddox is a Continuing Education/staff Development in Riverside, California. Dretona Tenese Maddox practices all healthcare services and medical treatments related to Continuing Education/staff Development. 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
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
Provider Enumeration Date 2007-02-23
Last Updated Date 2023-08-08

Provider Mailing Address Detail

Address 1410 3rd St
City Riverside
State California (CA)
Post Code 925073482
Phone Number 9094710697
Fax Number 7603027607

Provider's Primary Taxonomy Detail

Speciality Continuing Education/staff Development
Taxonomy 163Wc1600X
Licence No 618042
Definition:
A registered nurse who plans and provides ongoing nursing education.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RVN004760 CA --
EPS016610 CA --

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FAQs about Dretona Tenese Maddox

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 Continuing Education/staff Development, and the corresponding taxonomy code that categorizes this area of expertise is 163Wc1600X.

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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