Individual
MRS. ELENA CRUZ NIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1166 K ST, BRAWLEY, CA 92227-2737
(760) 344-9151
(760) 344-4092
Mailing address
1166 K ST, BRAWLEY, CA 92227-2737
(760) 344-9151
(760) 344-4092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
098007308
OR
363LF0000X
Family Nurse Practitioner
Primary
245336
CA
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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