Irene Bacus

Registered Nurse · Ontario, CA

Individual Active NPI

NPI number 1003012691

Practice location

3330 Centre Lake Dr
Ontario, CA 91761-1211
Phone
(909) 974-4704

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NPI record

NPI
1003012691
Entity type
Individual (Type 1)
Enumeration date
June 21, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 625372 CA

Mailing address

108 Breezewood St
Corona, CA 92879-1210
Phone
(951) 271-1985

About Irene Bacus

Irene Bacus is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 3330 Centre Lake Dr, Ontario, CA 91761-1211. The NPI number 1003012691 was assigned on June 21, 2007 and the record was last updated on July 8, 2007.

Irene Bacus lists a license in the registry: #625372 (CA) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Irene Bacus?

The NPI number is 1003012691.

What is the phone number of Irene Bacus?

The phone number listed for the practice location is (909) 974-4704.

Where is Irene Bacus located?

3330 Centre Lake Dr, Ontario, CA 91761-1211.

What is the taxonomy code for Irene Bacus?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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