Healthcare Provider Details

I. General information

NPI: 1821893165
Provider Name (Legal Business Name): KATHLEEN CABRERA KURIAN RN, BNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN CABRERA CONIUM

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8381 ANTHONY ST
RIVERSIDE CA
92507-0068
US

IV. Provider business mailing address

8381 ANTHONY ST
RIVERSIDE CA
92507-0068
US

V. Phone/Fax

Practice location:
  • Phone: 909-601-5657
  • Fax:
Mailing address:
  • Phone: 909-601-5657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95187342
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: