Individual
PATRICIA MCCOY EDLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN MASTER OF NURSING
Contact information
Practice address
12304 SANTA MONICA BLVD, SUITE #106, LOS ANGELES, CA 90025
(310) 578-5537
Mailing address
5399 BLANCO WAY, CULVER CITY, CA 90230
(310) 390-5756
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN186184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331
CA BOARD OF REG NRS
—
01
—
PMH 410
CONSUMER AFFAIRS
CA
Enumeration date
02/05/2007
Last updated
07/08/2007
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