Doctor Name: | MRS. PATRICIA ALICE ELDER |
NPI Number: | 1780095539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, IBCLC |
License Number: | 304850 |
Business Practice Address: | 1648 Via Arriba Palos Verdes Estates, CA - 902741233 |
Business Phone Number: | 3103781958 |
Business Fax Number: | |
Mailing Address: | 1648 Via Arriba, PALOS VERDES ESTATES |
State: | CA |
Postal Code: | 902741233 |
Phone Number: | 3103781958 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2014 |
NPI Last Update Date: | 05/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 304850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |