Individual
MS. ELSA MARIE YEDINAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
24000 JACARANDA DR, TEHACHAPI, CA 93561-6523
(805) 405-8429
Mailing address
24000 JACARANDA DR, TEHACHAPI, CA 93561-6523
(805) 405-8429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
646166
CA
363LP0200X
Pediatric Nurse Practitioner
18803
CA
Other
Enumeration date
08/29/2010
Last updated
05/21/2015
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