Doctor Name: | MR. ERIC ESPINOSA |
NPI Number: | 1649597808 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.S.N |
License Number: | R035303 |
Business Practice Address: | Hwy 264, Mp 388 Polacca, AZ - 860424000 |
Business Phone Number: | 9287376000 |
Business Fax Number: | 9287376080 |
Mailing Address: | Po Box 4000, POLACCA |
State: | AZ |
Postal Code: | 860424000 |
Phone Number: | 9287376000 |
Fax Number: | 9287376080 |
NPI Enumeration Date: | 04/28/2010 |
NPI Last Update Date: | 04/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | R035303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |