Individual
ERNESTINA ELIZABETH MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-2105
Mailing address
14192 SAN CRISTOBAL BAY DR, MORENO VALLEY, CA 92553-2907
(951) 807-6430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
693114
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
693114
CA
163WC0400X
Case Management Registered Nurse
693114
CA
163WC1500X
Community Health Registered Nurse
693114
CA
163WG0600X
Gerontology Registered Nurse
693114
CA
163WP0200X
Pediatric Registered Nurse
693114
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
693114
CA
163WR0400X
Rehabilitation Registered Nurse
693114
CA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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