Erika Jeanne Provence, FNP | |
31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | |
(951) 501-4200 | |
Not Available |
Full Name | Erika Jeanne Provence |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 31625 De Portola Rd Ste 101, Temecula, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023790128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 622055 (California) | Secondary |
363L00000X | Nurse Practitioner | 95025012 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Erika Jeanne Provence, FNP 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 Ph: (951) 501-4200 | Erika Jeanne Provence, FNP 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 Ph: (951) 501-4200 |
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