Mcelfish, Gina Rose

Mcelfish, Gina Rose is an sole proprietor health care provider with primary practice located at 57463 29 Palms Hwy Suite 202, Yucca Valley CA 92284-2925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcelfish, Gina Rose can be contacted via phone (760) 365-0808.

Contact Information

Primary practice address
57463 29 Palms Hwy Suite 202 Yucca Valley CA 92284-2925
Phone: (760) 365-0808
Fax: (760) 365-4545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C232435 California

Profile Details

NPI number 1861502247
LBN Legal business name Mcelfish, Gina Rose
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861502247 NPPES
California MEDICAID NP0064540

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