Individual
MS. MARION ELEANOR MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 267-7765
Mailing address
118 SOUTH CLARK DRIVE, #102, WEST HOLLYWOOD, CA 90048
(310) 994-1780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN457714
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP15934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063675957
—
CA
Enumeration date
07/09/2008
Last updated
07/21/2022
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