Healthcare Provider Details

I. General information

NPI: 1447178926
Provider Name (Legal Business Name): ELIZABETH LIMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 CROSSBILL WAY
TURLOCK CA
95382-8556
US

IV. Provider business mailing address

1469 CROSSBILL WAY
TURLOCK CA
95382-8556
US

V. Phone/Fax

Practice location:
  • Phone: 209-502-0377
  • Fax:
Mailing address:
  • Phone: 209-502-0377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN729522
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: