Individual
KENNETH WAYNE NORDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P
Contact information
Practice address
58581 US HIGHWAY 371 STE F, G, H, ANZA, CA 92539-9331
(951) 763-4759
Mailing address
1695 N SUNRISE WAY, PALM SPRINGS, CA 92262-3701
(760) 323-2118
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN428808
CA
363L00000X
Nurse Practitioner
Primary
NPF10271
CA
Other
Enumeration date
06/15/2006
Last updated
11/07/2024
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