MARY ALICE EARHART LM. RN NPI 1073653770

NPI Information

NPI: 1073653770
Provider Name: MARY ALICE EARHART, LM. RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
55100 RUE MARANDE
THERMAL, CA
ZIP 92274
Phone: (760) 392-5046
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Mary Alice Earhart, LM. RN is an addiction (substance use disorder) registered nurse in Thermal, CA. Mary Alice Earhart, LM. RN NPI is 1073653770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55100 RUE MARANDE
THERMAL, CA
ZIP 92274-231
Phone: (760) 392-5046
Fax: (760) 347-8276

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	361608	CALIFORNIA	Yes
2	163WC1500X	Registered Nurse	Community Health	361608	CALIFORNIA	X
3	163WM0102X	Registered Nurse	Maternal Newborn	361608	CALIFORNIA	X
4	163WP1700X	Registered Nurse	Perinatal	361608	CALIFORNIA	X
5	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	361608	CALIFORNIA	X
6	176B00000X	Midwife		LM96	CALIFORNIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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