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Elaine Loth, PNP
Pediatric Nurse Practitioner in Stockton, California
NPI 1164548103

Elaine Loth is a Pediatric Nurse Practitioner based in Stockton, CA and is specialized in Pediatrics. Elaine Loth practices in Stockton, CA and has the professional credentials of PNP. The NPI Number for Elaine Loth is 1164548103 and holds a License No. RN557498 (California).

The current practice location address for Elaine Loth is 89 W March Ln, Stockton, CA and can be reached out via phone at 209-478-2622.

Location: 89 W March Ln, Stockton, CA, 95207-5721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164548103
Provider Name
Elaine Loth
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
89 W March Ln, Stockton, CA, 95207-5721
Phone Number
209-478-2622
Fax Number
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN557498 01 CA RN LICENSE
NP12548 01 CA FURNISHING LICENSE
institution
Provider Business Practice Location Address Details
Address
89 W March Ln
City
Stockton
State
California
Zip
95207-5721
Phone Number
209-478-2622
Fax Number
person
Provider Business Mailing Address Details
Address
89 W March Ln
City
Stockton
State
California
Zip
95207-5721
Phone Number
209-478-2622
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN557498 (California)
Definition
Definition to come...
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