Individual provider · Type 1 NPI
Carol Jean S. Ruenprom, RN, BSN, PHN
Community Health Registered Nurse · Covina, CA
NPI number
1609592039
Active
Practice location
523 N Chardonnay Dr
Covina, CA 91723-1564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | RN500394 (CA) |
Community Health Registered Nurse: Definition to come...
About NPI 1609592039
Carol Jean S. Ruenprom, RN, BSN, PHN's National Provider Identifier is 1609592039, issued on Oct 17, 2022. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Covina, CA. The record was last updated on Oct 17, 2022.