NPI 1376692053
Carla Jean Ethridge, RN
Practice location
- Address
- 1016 N Burk St, Gilbert, AZ 85234-3473
- Phone
- (480) 892-6908
- Fax
- (480) 813-8240
- Mailing address
- 1055 S Buchanan St, Gilbert, AZ 85233-8026
Registered specialties
Religious Nonmedical Nursing Personnel
Primary
Registry record
- NPI
- 1376692053
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jan 2007
- 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.