White, Elizabeth Groendyke

White, Elizabeth Groendyke is an individual health care provider with primary practice located at 601 W 19Th St , Costa Mesa CA 92627-5060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. White, Elizabeth Groendyke can be contacted via phone (949) 548-8830.

Contact Information

Primary practice address
601 W 19Th St Costa Mesa CA 92627-5060
Phone: (949) 548-8830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 366510 California

Profile Details

NPI number 1619938297
LBN Legal business name White, Elizabeth Groendyke
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 20th, 2011 - about 15 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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