Provider Demographics
NPI:1679296792
Name:SITORUS, ANDRIAN MORRIS (RN)
Entity Type:Individual
Prefix:
First Name:ANDRIAN
Middle Name:MORRIS
Last Name:SITORUS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1154 GOULD ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-2913
Mailing Address - Country:US
Mailing Address - Phone:909-954-8623
Mailing Address - Fax:
Practice Address - Street 1:1214 HEATH ST
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4919
Practice Address - Country:US
Practice Address - Phone:909-954-8623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist