Regina Pulido Abraham

Individual provider Active NPI Registered Nurse · El Cajon, CA

NPI 1740502129 · NPPES record last updated Feb 25, 2010

Key facts

NPI
1740502129
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
716708 (CA)
Practice address
683 E Washington Ave
Apt. 12
El Cajon, CA 92020-5389
Phone
(619) 971-6635
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
Yes

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
716708CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 716708 CA Yes

Addresses

Primary practice location

683 E Washington Ave
Apt. 12
El Cajon, CA 92020-5389

Mailing address

683 E Washington Ave
Apt. 12
El Cajon, CA 92020-5389
Phone (619) 971-6635

Other providers in El Cajon, CA

All providers in El Cajon, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.