MEDICARE: RITA AIKEY R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	361357	CA

General Provider Information

NPI Number	:	1336569490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA AIKEY R.N.

Provider Business Mailing Address
First Line	:	253 DEL MAR DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-5235
Country	:	US
Telephone Number	:	760-898-2343
Fax Number	:

Provider Business Practice Location Address
First Line	:	41990 COOK ST STE 1004
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6105
Country	:	US
Telephone Number	:	760-341-5570
Fax Number	:	760-341-5622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2014
Last Update Date	:	04/16/2014

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