Individual
MRS. GINA ROSE MCELFISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
57463 29 PALMS HWY, SUITE 202, YUCCA VALLEY, CA 92284-2925
(760) 365-0808
(760) 365-4545
Mailing address
57570 SAN ANDREAS RD, YUCCA VALLEY, CA 92284-4185
(760) 365-8806
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C232435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0064540
—
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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