Individual provider · Type 1 NPI

Elaine Rene Icenhour

Nurse Practitioner · El Dorado Hills, CA

NPI number 1689349391 Active

Practice location

5220 Robert J Mathews Pkwy
El Dorado Hills, CA 95762-5705

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9800 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689349391

Elaine Rene Icenhour's National Provider Identifier is 1689349391, issued on Aug 13, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in El Dorado Hills, CA. The record was last updated on Aug 13, 2021.