Individual
ELIZABETH MEDGYESY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16715 COLEMAN VALLEY RD, OCCIDENTAL, CA 95465-9235
(707) 874-2001
Mailing address
16715 COLEMAN VALLEY RD, OCCIDENTAL, CA 95465-9235
(707) 874-2001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
784531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93578539E15114
PARTNERSHIP HEALTH PLAN
CA
Enumeration date
01/15/2021
Last updated
01/15/2021
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