MISS GRACE ELEANOR AMARALI


Address: 2523 Westberry Dr, Santa Rosa, CA 95403-4183
Phone: 7075444703

MISS GRACE ELEANOR AMARALI (NPI# 1467641142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467641142
Entity Type Individual
Full Name MISS GRACE ELEANOR AMARALI
Credential RN
Practice Address 2523 Westberry Dr
Santa Rosa
CA 95403-4183
Mailing Address 2523 Westberry Drive
Santa Rosa
CA 95403-4183
Practice Telephone 7075444703
Mailing Telephone 7075444703
Enumeration Date 2007-10-18
Last Update Date 2007-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
RN467219 CA Nursing Service Providers
N 171M00000X Case Manager/Care Coordinator RVN004520 CA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DEPARTMENT OF HEALTH RVN004520 01
CA REGISTERED NURSE RN467219 01

Office Location

Street Address 2523 WESTBERRY DR
City SANTA ROSA
State CA
Zip Code 95403-4183

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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073742136 Cheryl Ann Fox Registered Nurse 339 College Ave, Santa Rosa, CA 95404 2009-07-10
1962652479 Leslie Anne Brouillette Registered Nurse 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2008-09-22

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Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

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.

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