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Mr. James Robert Etteldorf, NP
Family Nurse Practitioner in Loma Linda, California
NPI 1164559761

James Robert Etteldorf is a Family Nurse Practitioner based in Riverside, CA and is specialized in Family. James Robert Etteldorf practices in Loma Linda, CA and has the professional credentials of NP. The NPI Number for James Robert Etteldorf is 1164559761 and holds a License No. 10542 (California).

The current practice location address for James Robert Etteldorf is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-8514.

Location: 11234 Anderson St, Loma Linda, CA, 92506-4603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164559761
Provider Name
James Robert Etteldorf
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St, Loma Linda, CA, 92506-4603
Phone Number
909-558-8514
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-8514
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-8514
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10542 (California)
Definition
Definition to come...
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