Individual
ELYSE LOUISE FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
23823 VALENCIA BLVD STE 140, VALENCIA, CA 91355-9516
(661) 243-8867
Mailing address
30164 CAMBRIDGE AVE, CASTAIC, CA 91384-4539
(661) 305-8092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95014982
CA
Other
Enumeration date
08/25/2020
Last updated
10/27/2023
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