Individual
KIM EGGERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3166 COLLINS DR, MERCED, CA 95348-3132
(209) 723-7751
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032032
CA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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