Ellstrom, Kathleen Eloise

Ellstrom, Kathleen Eloise is an individual health care provider with primary practice located at 11201 Benton St 111P, Loma Linda CA 92357-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Ellstrom, Kathleen Eloise can be contacted via phone (909) 583-6095.

Contact Information

Primary practice address
11201 Benton St 111P Loma Linda CA 92357-1000
Fax: (909) 777-3214
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 539 California

Profile Details

NPI number 1023023728
LBN Legal business name Ellstrom, Kathleen Eloise
Credentials PHD, RN, APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 8th, 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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