Individual
ELIZABETH KIDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
(323) 361-5027
Mailing address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
(323) 361-5027
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000938
CA
363LP0200X
Pediatric Nurse Practitioner
RN264689
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95000938
NP LICENSE
CA
01
—
95037727
RN
CA
Enumeration date
01/05/2012
Last updated
12/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us