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Elizabeth Pittenger
Student in an Organized Health Care Education/Training Program in Santa Cruz, California
NPI 1184027674

Elizabeth Pittenger is a Student in an Organized Health Care Education/Training Program based in Santa Cruz, CA. Elizabeth Pittenger practices in Santa Cruz, CA. The NPI Number for Elizabeth Pittenger is 1184027674 and holds a License No. (California).

The current practice location address for Elizabeth Pittenger is 4795 Opal Cliff Dr, Santa Cruz, CA and can be reached out via phone at 831-464-8694.

Location: 4795 Opal Cliff Dr, Santa Cruz, CA, 95064-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184027674
Provider Name
Elizabeth Pittenger
Credential
Provider Entity Type
Individual
Gender
Female
Address
4795 Opal Cliff Dr, Santa Cruz, CA, 95064-1000
Phone Number
831-464-8694
Fax Number
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44AV 01 CA MEDI-CAL PRV NBR
institution
Provider Business Practice Location Address Details
Address
4795 Opal Cliff Dr
City
Santa Cruz
State
California
Zip
95062-5229
Phone Number
831-464-8694
Fax Number
person
Provider Business Mailing Address Details
Address
4795 Opal Cliff Dr
City
Santa Cruz
State
California
Zip
95062-5229
Phone Number
831-464-8694
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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