Provider Demographics
NPI:1821893165
Name:KURIAN, KATHLEEN CABRERA (RN, BNS)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:CABRERA
Last Name:KURIAN
Suffix:
Gender:
Credentials:RN, BNS
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:CABRERA
Other - Last Name:CONIUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8381 ANTHONY ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-0068
Mailing Address - Country:US
Mailing Address - Phone:909-601-5657
Mailing Address - Fax:
Practice Address - Street 1:8381 ANTHONY ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-0068
Practice Address - Country:US
Practice Address - Phone:909-601-5657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95187342163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency