Provider Demographics
NPI:1760072516
Name:NARES-ECKBERG, ROSEMARY (RN)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:NARES-ECKBERG
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 1:505 ORPHEUS AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2611
Mailing Address - Country:US
Mailing Address - Phone:858-401-3297
Mailing Address - Fax:
Practice Address - Street 1:505 ORPHEUS AVE
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2611
Practice Address - Country:US
Practice Address - Phone:858-401-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA835471163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse