Individual
APRIL SUSAN ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
72785 FRANK SINATRA DR STE 100, RANCHO MIRAGE, CA 92270-3207
(760) 969-5900
(760) 969-5911
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970024662
RAILROAD MEDICARE
CA
Enumeration date
06/24/2006
Last updated
03/07/2023
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