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Elsa Petronella Van Berry, CRYT,RN,MSN,FNP-BC
Family Nurse Practitioner in Oakland, California
NPI 1083042162

Elsa Petronella Van Berry is a Family Nurse Practitioner based in Lafayette, CA and is specialized in Family. Elsa Petronella Van Berry practices in Oakland, CA and has the professional credentials of CRYT,RN,MSN,FNP-BC. The NPI Number for Elsa Petronella Van Berry is 1083042162 and holds a License No. 2011003399 (California).

The current practice location address for Elsa Petronella Van Berry is 3100 Summit St Fl 2, Oakland, CA and can be reached out via phone at 510-869-8865 and via fax at 510-869-6271.

Location: 3100 Summit St Fl 2, Oakland, CA, 94549-3746
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Provider Profile Details
NPI Number
1083042162
Provider Name
Elsa Petronella Van Berry
Credential
CRYT,RN,MSN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3100 Summit St Fl 2, Oakland, CA, 94549-3746
Phone Number
510-869-8865
Fax Number
510-869-6271
Provider Enumeration Date
10/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55-1876 01 CA MEDICARE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
3100 Summit St Fl 2
City
State
Zip
94609-3412
Phone Number
510-869-8865
Fax Number
510-869-6271
person
Provider Business Mailing Address Details
Address
3100 Summit St Fl 2
City
State
Zip
94609-3412
Phone Number
510-869-8865
Fax Number
510-869-6271
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2011003399 (California)
Definition
Definition to come...
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