Provider Demographics
NPI:1942258207
Name:ECHIPARE, RODOLFO ENCINA SR (RN)
Entity Type:Individual
Prefix:
First Name:RODOLFO
Middle Name:ENCINA
Last Name:ECHIPARE
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 N C ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-0608
Mailing Address - Country:US
Mailing Address - Phone:916-447-1389
Mailing Address - Fax:
Practice Address - Street 1:1321 N C ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-0608
Practice Address - Country:US
Practice Address - Phone:916-447-1389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA658509163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health