Individual
MRS. AMY MARIE ELIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1751 E HARRY AVE, SANTA ANA, CA 92705
(877) 896-7350
(800) 340-7804
Mailing address
2211 PACIFIC BEACH DR, SAN DIEGO, CA 92109-5626
(507) 696-1779
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95010996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPF95010996
—
CA
Enumeration date
02/18/2019
Last updated
02/18/2019
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