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Physician Compare National (NPI:1366851313)

HEALTHCARE PROVIDER: NORA PATRICIA ELIZALDE CNM, WHNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1366851313
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7315246055
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180813002541
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ELIZALDE
Individual professional last name
Provider First Name NORA
Individual professional first name
Provider Middle Name PATRICIA
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2014
Individual professional's medical school graduation year
Primary Specialty CERTIFIED NURSE MIDWIFE (CNM)
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ST CATHERINE HOSPITAL
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4789595844
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 66
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 415 N MAIN ST
Group Practice or individual's line 1 address
Marker of address line 2 suppression Y
Marker that address as reported may be incomplete
City ULYSSES
Group Practice or individual's city
State KS
Group Practice or individual's state
Zip Code 678802133
Group Practice or individual's zip code (9 digits when available)
Phone Number 6203561266
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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