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NPI Code Detail

MEDICARE: ELIZABETH SHELDON

MEDICARE:   ELIZABETH  SHELDON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse751840CA
2363LP0200XPediatric Nurse Practitioner95003217CA
3364SP0200XPediatric Clinical Nurse Specialist4388CA

General Provider Information

NPI Number : 1336511831
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SHELDON
Provider Business Mailing Address
First Line : 3020 CHILDRENS WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3020 CHILDRENS WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-576-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 10/22/2015

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Directions to “ ELIZABETH SHELDON ” Practice Location

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