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Individual

ELIZABETH ANN GRASSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
9400 RUFFIN CT, SAN DIEGO, CA 92123-5300
(858) 514-4719
Mailing address
3225 NEWELL STREET, UNIT #3, SAN DIEGO, CA 92106
(619) 225-8678

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
300075
CA
163WC0400X
Case Management Registered Nurse
300075
CA
163WC1500X
Community Health Registered Nurse
300075
CA
163WP0200X
Pediatric Registered Nurse
Primary
300075
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300075
NURSING LICENCE
CA
Enumeration date
03/09/2007
Last updated
09/11/2025
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