Carol, Eileen M

Carol, Eileen M is an individual health care provider with primary practice located at 3325 Chanate Rd , Santa Rosa CA 95404-1707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carol, Eileen M can be contacted via phone (707) 576-4413.

Contact Information

Primary practice address
3325 Chanate Rd Santa Rosa CA 95404-1707
Phone: (707) 576-4413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 160008 California

Profile Details

NPI number 1477748929
LBN Legal business name Carol, Eileen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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