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Individual

ELONA JEAN MENGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
751 S BASCOM AVE, NEONATOLOGY DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-6428
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
485013
CA
363LN0000X
Neonatal Nurse Practitioner
485013
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
485013
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN485013
CA
Enumeration date
04/25/2006
Last updated
07/16/2007
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