National Provider Identifier Database

EKATERINA DMITRENOK
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

EKATERINA DMITRENOK
249 BONNEVILLE RD # 7609
STAR VALLEY RANCH, WY83127-5207
Phone: 619-944-1612
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for EKATERINA DMITRENOK

NPI Number 1922840735
Credentials
Entity Individual
Enumeration date 06/11/2024
Last updated 06/11/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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