NPI 1023023728
Kathleen Eloise Ellstrom, PHDRNAPRNBC
Practice location
- Address
- 11201 Benton St 111p, Loma Linda, CA 92357-1000
- Phone
- (909) 583-6095
- Fax
- (909) 777-3214
- Mailing address
- 22595 Cardinal St, Grand Terrace, CA 92313-5732
Registered specialties
Medical-Surgical Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1023023728
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jul 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.