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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELAINE RENE ICENHOUR

Active

ELAINE RENE ICENHOUR is a Nurse Practitioner healthcare provider located in EL DORADO HILLS, California. NPI 1689349391 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · EL DORADO HILLS, CA

Registration Details

NPI Number
1689349391
Provider Type
Individual
Gender
Female
NPI Issued
Aug 13, 2021 (4.824611101158 yrs)
Last Updated
Aug 13, 2021
License
9800 (CA)

Practice Information

Address
5220 ROBERT J MATHEWS PKWY
EL DORADO HILLS, CA, 957625705
Browse CA providers · Browse ZIP 95762
Phone
9169394960
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in EL DORADO HILLS, CA

Name Credential NPI
MRS. KRISTI L HUFFORD FNP 1336247410
DR. JOSEPH R. AMBROSE DC 1194940809
DANIELLE HAGOPIAN NP 1659232619
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.