Basic Information
Provider Information
NPI: 1336569490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AIKEY
FirstName: RITA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 253 DEL MAR DR
Address2:  
City: PALM SPRINGS
State: CA
PostalCode: 922645235
CountryCode: US
TelephoneNumber: 7608982343
FaxNumber:  
Practice Location
Address1: 41990 COOK ST STE 1004
Address2:  
City: PALM DESERT
State: CA
PostalCode: 922116105
CountryCode: US
TelephoneNumber: 7603415570
FaxNumber: 7603415622
Other Information
ProviderEnumerationDate: 04/16/2014
LastUpdateDate: 04/16/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0400X361357CAY Nursing Service ProvidersRegistered NurseCase Management

No ID Information.


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