Egner, Tina Marie

Egner, Tina Marie is an individual health care provider with primary practice located at 918 W Foothill Blvd Ste A , Upland CA 91786-3772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Egner, Tina Marie can be contacted via phone (909) 890-5511.

Contact Information

Primary practice address
918 W Foothill Blvd Ste A Upland CA 91786-3772
Phone: (909) 890-5511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW236129 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM406 Minnesota

Profile Details

NPI number 1437709854
LBN Legal business name Egner, Tina Marie
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Jun 24th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1437709854 NPPES
California MEDICAID 266540

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