person
Mr. Edward N. Sianipar, NP
Adult Health Nurse Practitioner in Apple Valley, California
NPI 1225305618

Edward N. Sianipar is an Adult Health Nurse Practitioner based in Apple Valley, CA and is specialized in Adult Health. Edward N. Sianipar practices in Apple Valley, CA and has the professional credentials of NP. The NPI Number for Edward N. Sianipar is 1225305618 and holds a License No. 21409 (California).

The current practice location address for Edward N. Sianipar is 19059 Bear Valley Rd, Apple Valley, CA and can be reached out via phone at 760-515-5000 and via fax at 760-240-3848.

Location: 19059 Bear Valley Rd, Apple Valley, CA, 92308-2716
person
Provider Profile Details
NPI Number
1225305618
Provider Name
Edward N. Sianipar
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
19059 Bear Valley Rd, Apple Valley, CA, 92308-2716
Phone Number
760-515-5000
Fax Number
760-240-3848
Provider Enumeration Date
11/29/2011
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
19059 Bear Valley Rd
City
State
Zip
92308-2716
Phone Number
760-515-5000
Fax Number
760-240-3848
person
Provider Business Mailing Address Details
Address
19059 Bear Valley Rd
City
State
Zip
92308-2716
Phone Number
760-515-5000
Fax Number
760-240-3848
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
21409 (California)
Definition
Definition to come...
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