Icenhour, Elaine Rene

Icenhour, Elaine Rene is an individual health care provider with primary practice located at 5220 Robert J Mathews Pkwy , El Dorado Hills CA 95762-5705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Icenhour, Elaine Rene can be contacted via phone (916) 939-4960.

Contact Information

Primary practice address
5220 Robert J Mathews Pkwy El Dorado Hills CA 95762-5705
Phone: (916) 939-4960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9800 California

Profile Details

NPI number 1689349391
LBN Legal business name Icenhour, Elaine Rene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2021
Last updated Aug 13th, 2021 - about 3 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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