| Doctor Name: | MS. ELSA MARIE YEDINAK |
| NPI Number: | 1376859249 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | 18803 |
| Business Practice Address: | 24000 Jacaranda Dr Tehachapi, CA - 935616523 |
| Business Phone Number: | 8054058429 |
| Business Fax Number: | |
| Mailing Address: | 24000 Jacaranda Dr, TEHACHAPI |
| State: | CA |
| Postal Code: | 935616523 |
| Phone Number: | 8054058429 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2010 |
| NPI Last Update Date: | 05/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 18803 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |