CORALIE ELIZABETH ETTINGER (NPI# 1164825717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164825717 |
| Entity Type | Individual |
| Full Name | CORALIE ELIZABETH ETTINGER |
| Credential | FNP |
| Practice Address |
430 Palora Ave, Ste G. Yuba City CA 95991-4729 |
| Mailing Address |
1691 The Alameda San Jose CA 95126-2203 |
| Practice Telephone | 5306742603 |
| Practice Fax Number | 5306740941 |
| Mailing Telephone | 4087953619 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95034994 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004398 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
430 PALORA AVE, STE G. |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
| 1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
| 1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
| 1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
| 1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
| 1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
| 1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
| 1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
| Find all providers in zip 95991 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225696396 | Gahfora Gorsi | Nurse Practitioner | 1610 Wildflower Cir, Yuba City, CA 95993-8000 | 2019-06-03 |
| 1376933093 | Sonja Dee Stone | Nurse Practitioner | 1164 Live Oak Blvd, Yuba City, CA 95991-3407 | 2015-02-02 |
| 1073855714 | Jagmohan Thiara | Nurse Practitioner | 1531 Plumas Ct Ste B-d, Yuba City, CA 95991-2966 | 2013-03-20 |
| 1275142440 | Kentoria I'sharrell Roberson | Nurse Practitioner | 430 N Palora Ave, Yuba City, CA 95991-4707 | 2020-07-23 |
| 1336779826 | Brandy Counts | Nurse Practitioner | 1162 Live Oak Blvd, Yuba City, CA 95991-3407 | 2020-01-23 |
| 1568008092 | Alexandra Beth Wilkins | Nurse Practitioner | 1215 Plumas St Ste 800, Yuba City, CA 95991-4084 | 2019-11-19 |
| 1831751049 | Jessica Nelson | Nurse Practitioner | 1000 Sutter St, Yuba City, CA 95991-3504 | 2019-07-08 |
| 1194218339 | Stephanie Ruth Siatita Stancil | Nurse Practitioner | 350 Del Norte Ave, Yuba City, CA 95991 | 2018-06-12 |
| 1932696960 | Judith N Costa | Nurse Practitioner | 1275 Tharp Rd, Yuba City, CA 95993 | 2018-04-16 |
| 1619485117 | Gurveen Kaur | Nurse Practitioner | 334 Samuel Dr, Yuba City, CA 95991-6325 | 2018-01-18 |
| Find all providers in YUBA CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.