Healthcare Provider Details

I. General information

NPI: 1912837618
Provider Name (Legal Business Name): ANNETTE ELLIOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 FAIRMONT DR
CASTRO VALLEY CA
94578-1005
US

IV. Provider business mailing address

2101 CENTRAL AVE
ALAMEDA CA
94501-2840
US

V. Phone/Fax

Practice location:
  • Phone: 415-714-0814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95255263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: