Haeryen McEwen, RN
Individual provider Active NPI Registered Nurse · Winterhaven, CA
NPI 1861000127 · NPPES record last updated Jul 22, 2020
Key facts
- NPI
- 1861000127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 264556 (NC)
- Practice address
- 401 Picacho Rd
Winterhaven, CA 92283-9605 - Phone
- (760) 572-4100
- Fax
- (760) 572-2133
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264556 | NC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 264556 | NC | Yes |
Addresses
Primary practice location
401 Picacho Rd
Winterhaven, CA 92283-9605
Mailing address
PO Box 1368
Yuma, AZ 85366-2361
Phone (760) 572-4238
Other providers in Winterhaven, CA
- Ian-Jay R. Lee
- Donna Smith Leet
- Cynthia Ann Long
- Claudius L Lorentz
- Frances Mariano
- Nathan Miller
- Tashina Jolene Miller
- Beverly Monnin
- Evelyn Morales-Cruz
- Pamela Murphy
All providers in Winterhaven, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.