Individual
MRS. ELISA DANG
Active
Individual
MRS. ELISA DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
675784
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP112506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20030431
PEDIATRIC NURSING CERTIFICATION BOARD
TX
01
—
5069
PRESCRIPTIVE AUTHORITY
TX
01
—
675784
TEXAS BOARD OF NURSING RN
TX
01
—
AP112506
TEXAS BOARD OF NURSING APRN
TX
Enumeration date
11/25/2013
Last updated
09/29/2023
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