Provider Demographics
NPI:1225896731
Name:STURTS, ENIKO SZIDONIA (RN)
Entity Type:Individual
Prefix:
First Name:ENIKO
Middle Name:SZIDONIA
Last Name:STURTS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 MONTANYA CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3007
Mailing Address - Country:US
Mailing Address - Phone:720-394-6803
Mailing Address - Fax:
Practice Address - Street 1:154 MONTANYA CT
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3007
Practice Address - Country:US
Practice Address - Phone:720-394-6803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95044333163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse