Individual
DR. ELIZABETH MACERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
(415) 576-8899
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
(415) 576-8899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN221647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ28811Z
—
CA
Enumeration date
12/18/2006
Last updated
10/02/2015
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