Individual
ELIZABETH SHALLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1510 SAN PABL STREET, LOS ANGELES, CA 90033-5320
(323) 442-5907
(323) 442-6020
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-1241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16796
CA
363LG0600X
Gerontology Nurse Practitioner
213285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390071
—
MA
01
—
NP2988
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/13/2006
Last updated
04/17/2015
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