IndividualActive
Ekaterina Dmitrenok
NPI 1922840735 · Nursing Home Administrator · Star Valley Ranch, WY
Provider details
- NPI number
- 1922840735
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
249 Bonneville Rd # 7609
Star Valley Ranch, WY 83127-5207
Phone: (619) 944-1612
Approximate (ZIP-level) locationGet directions
Mailing address
249 Bonneville Rd # 7609
Star Valley Ranch, WY 83127-5207
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.