Menge, Elona Jean
Menge, Elona Jean is an individual health care provider with primary practice located at 751 S Bascom Ave Neonatology Department, San Jose CA 95128-2604. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Menge, Elona Jean can be contacted via phone (408) 885-6428.Contact Information
Primary practice address
751 S Bascom Ave Neonatology Department
San Jose CA 95128-2604
Phone: (408) 885-6428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 485013 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 485013 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 485013 | California |
Profile Details
| NPI number | 1265498315 |
|---|---|
| LBN Legal business name | Menge, Elona Jean |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265498315 | NPPES |
| California | MEDICAID | RN485013 |
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