Provider Demographics
NPI:1467696617
Name:SOLTIS, EILEEN GEORGINA (RN)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:GEORGINA
Last Name:SOLTIS
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 1:13215 W GAUCHO DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4519
Mailing Address - Country:US
Mailing Address - Phone:623-523-8490
Mailing Address - Fax:623-523-8461
Practice Address - Street 1:17359 W. SURPRISE FARMS LOOP N
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388
Practice Address - Country:US
Practice Address - Phone:623-523-8490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN116400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse