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:
Health care specialties
Specialty | Code | License # | 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 3 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437709854 | NPPES |
California | MEDICAID | 266540 |
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