Individual
BETH ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2055 TOWN CENTER PLZ STE G130, WEST SACRAMENTO, CA 95691-5058
(916) 887-7471
(916) 887-7480
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(866) 681-0736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95003991
CA
Other
Enumeration date
05/03/2016
Last updated
12/27/2019
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