Irene Rojas Elizondo

Individual provider Active NPI Registered Nurse · Coarsegold, CA

NPI 1477108652 · NPPES record last updated Nov 5, 2024

Key facts

NPI
1477108652
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
95366843 (CA)
Practice address
29535 Yosemite Springs Pkwy
Coarsegold, CA 93614-9160
Phone
(559) 341-0129
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95366843CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kindhearted Home Nursing Solutions LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95366843 CA Yes

Addresses

Primary practice location

29535 Yosemite Springs Pkwy
Coarsegold, CA 93614-9160

Mailing address

29535 Yosemite Springs Pkwy
Coarsegold, CA 93614-9160
Phone (559) 341-0129

Other providers in Coarsegold, CA

All providers in Coarsegold, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.