# ELIZABETH KIDDE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487924643
- **Gender:** F
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 95000938 | CA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | RN264689 | MA | — |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 12/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 95000938 | NP LICENSE | CA |
| 01 | — | 95037727 | RN | CA |