Kathleen Eloise Ellstrom PHD, RN, APRN,BC

NPI 1023023728 - Clinical Nurse Specialist - 364SM0705X

NPI Details
NPI 1023023728
Gender Female
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11201 BENTON ST
111P
LOMA LINDA CA, 92357-1000, US
Phone (909) 583-6095
Fax (909) 777-3214
Business Location
22595 CARDINAL ST
GRAND TERRACE CA, 92313-5732, US
Phone (909) 783-0594
Fax (909) 783-6714
Toxanomy
Taxonomy Code 364SM0705X
License State California
License Number 539
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According to our database, Dr. Kathleen Eloise Ellstrom PHD, RN, APRN,BC NPI is 1023023728, taxonomy code is 364SM0705X and license number is 539, license state is located at California. Kathleen Eloise Ellstrom PHD, RN, APRN,BC physically located at 11201 Benton St, Loma Linda CA, 92357-1000. NPI Number Kathleen Eloise Ellstrom PHD, RN, APRN,BC has the Individual type.

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1023023728 NPI number is provided on an as is basis without warranty of any kind. 1023023728 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Eloise Ellstrom PHD, RN, APRN,BC are for informational purposes only.