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General NPI Number Information
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NPI Number | 1255229100
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Entity Type | Individual
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Provider Name | ALEJANDRA ELIZONDO DNP PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 7011 W CANAL DR
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City | KENNEWICK
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State | WA
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Zip | 99336-7687
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Country | US
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Telephone | 509-735-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 ROAD 56
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City | PASCO
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State | WA
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Zip | 99301-2391
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Country | US
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Telephone | 509-975-2501
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Fax | 509-463-4563
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3481504
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 70010465
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License Number State | WA
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