Individual
ELIZABETH ERIN CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1541 FLORIDA AVE STE 200, MODESTO, CA 95350-4438
(209) 577-3388
Mailing address
PO BOX 976, 23289 JOAQUIN GULLY ROAD, TWAIN HARTE, CA 95383
(949) 547-8718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23261
CA NURSE PRACTITIONER FURNISHING NUMBER
CA
01
—
680454
CA RN NUMBER
CA
Enumeration date
07/19/2013
Last updated
02/13/2020
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