Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elaine Rene Icenhour

Individual provider Nurse Practitioner · NPI 1689349391

Elaine Rene Icenhour is a Nurse Practitioner in El Dorado Hills, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

5220 Robert J Mathews Pkwy
El Dorado Hills, CA 95762-5705
Phone: (916) 939-4960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9800 (CA)

Record details

NPI number1689349391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2021
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021

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