Individual
LINNEA HONDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4646 BROCKTON AVE, RIVERSIDE, CA 92506-0102
(951) 774-2800
Mailing address
4646 BROCKTON AVE, RIVERSIDE, CA 92506-0102
(951) 231-1366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95091478
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95006173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255867834
—
CA
Enumeration date
05/02/2017
Last updated
03/17/2018
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