Individual
ELSITA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5020 COMMERCE DR, BAKERSFIELD, CA 93309
(661) 324-4100
(661) 324-4600
Mailing address
5020 COMMERCE DR, BAKERSFIELD, CA 93309-0631
(661) 829-0074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP14984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP14984
LICENSE NUMBER, NURSE PRA
CA
05
—
RN576941
—
CA
Enumeration date
04/06/2006
Last updated
09/14/2016
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