Individual provider · Type 1 NPI
Ekaterina Dmitrenok
Nursing Home Administrator · Star Valley Ranch, WY
NPI number
1922840735
Active
Practice location
249 Bonneville Rd # 7609
Star Valley Ranch, WY 83127-5207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1922840735
Ekaterina Dmitrenok's National Provider Identifier is 1922840735, issued on Jun 11, 2024. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Star Valley Ranch, WY. The record was last updated on Jun 11, 2024.