Woodside, Elise Nichole

Woodside, Elise Nichole is an individual health care provider with primary practice located at 5500 N Macarthur Blvd , Irving TX 75038-2603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Woodside, Elise Nichole can be contacted via phone (972) 518-1325.

Contact Information

Primary practice address
5500 N Macarthur Blvd Irving TX 75038-2603
Phone: (972) 518-1325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP141977 Texas

Profile Details

NPI number 1295288256
LBN Legal business name Woodside, Elise Nichole
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Oct 1st, 2019 - about 7 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 1295288256 NPPES
Virginia Other 1295288256 MULTIPLAN
Virginia MEDICAID 1295288256 MULTIPLAN
Virginia Other 1295288256 MULTIPLAN
Virginia Other 1295288256 MULTIPLAN
Virginia Other 1295288256 MULTIPLAN
Virginia Other 1295288256 MULTIPLAN
Virginia Other 1295288256 MULTIPLAN
Virginia Other 1295288256 MULTIPLAN

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