| Doctor Name: | MS. ELLISA JEAN NAUMANN |
| NPI Number: | 1013114024 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHN, RN |
| License Number: | 304169 |
| Business Practice Address: | 260 E. 15th Street Merced, CA - 95340 |
| Business Phone Number: | 2093811158 |
| Business Fax Number: | 2093811173 |
| Mailing Address: | 795 E 22nd St, MERCED |
| State: | CA |
| Postal Code: | 953404026 |
| Phone Number: | 2093811158 |
| Fax Number: | 2093811173 |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 304169 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |