Healthcare Provider Details

I. General information

NPI: 1497263867
Provider Name (Legal Business Name): REBECCA FRANCES ELIASER LISKIN RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 CAMINO DIABLO STE 200
WALNUT CREEK CA
94597-3993
US

IV. Provider business mailing address

1067 DEER OAK PL
CONCORD CA
94521-4543
US

V. Phone/Fax

Practice location:
  • Phone: 510-396-9355
  • Fax:
Mailing address:
  • Phone: 415-310-3037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95008012
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: