Doctor Name: | EVONNE MARIE KUCHERA |
NPI Number: | 1023131836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 273189 |
Business Practice Address: | 2191 Lyndhurst Ave Camarillo, CA - 930102058 |
Business Phone Number: | 8054845428 |
Business Fax Number: | 8054840101 |
Mailing Address: | 2191 Lyndhurst Ave, CAMARILLO |
State: | CA |
Postal Code: | 930102058 |
Phone Number: | 8054845428 |
Fax Number: | 8054840101 |
NPI Enumeration Date: | 04/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | 273189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |