Doctor Name: | MRS. ELENA CRUZ NIEBEL |
NPI Number: | 1033497235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 098007308 |
Business Practice Address: | 1166 K St Brawley, CA - 922272737 |
Business Phone Number: | 7603449151 |
Business Fax Number: | 7603444092 |
Mailing Address: | 1166 K St, BRAWLEY |
State: | CA |
Postal Code: | 922272737 |
Phone Number: | 7603449151 |
Fax Number: | 7603444092 |
NPI Enumeration Date: | 07/22/2011 |
NPI Last Update Date: | 07/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 098007308 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |