Most Relevant Information
Provider Data
| NPI Number: | 1003458209 |
| Provider Name: | NAMRATA NICOLE SIHOTANG NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP95012671 |
Most Important Dates
| Enumeration Date: | 10/09/2019 |
| Last Updated: | 12/01/2022 |
Provider Practice Location
19330 JESSE LN STE 100
RIVERSIDE
CA
925085077
Practice Location Phone/Fax
| Phone: | 8448278000 |
| Fax: |
Provider Mailing Location
19330 JESSE LN STE 100
RIVERSIDE
CA
925085077
Provider Mailing Phone/Fax
| Phone: | 8448278000 |
| Fax: |