James Robert Etteldorf in Riverside - Family
James Robert Etteldorf - NPI 1164559761
James Robert Etteldorf is a Family in Riverside, California. James Robert Etteldorf practices all healthcare services and medical treatments related to Family. The NPI Number for James Robert Etteldorf is 1164559761. The last update date is 2007-07-08.
James Robert Etteldorf's current location address is 2242 Black Oak Pl, Riverside, California. You can contact this provider via phone number 9516861146. The mailing address for James Robert Etteldorf is 2242 Black Oak Pl, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Robert Etteldorf |
|---|---|
| Address | 2242 Black Oak Pl, Riverside, California |
| Phone Number | 9516861146 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1164559761 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2242 Black Oak Pl |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925064603 |
| Phone Number | 9516861146 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 10542 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to James Robert Etteldorf?
The James Robert Etteldorf has been issued the NPI (National Provider Identifier) 1164559761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where James Robert Etteldorf's facilities are geographically located?
The facilities of James Robert Etteldorf are physically situated at the following location: 2242 Black Oak Pl, Riverside, CA, 925064603.
What is the James Robert Etteldorf's area of specialization and corresponding taxonomy classification?
The James Robert Etteldorf's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1164559761 to James Robert Etteldorf?
The James Robert Etteldorf received its 1164559761 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the details pertaining to James Robert Etteldorf last refreshed?
The information related to the James Robert Etteldorf, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY