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Liam Kenneth Elliott, FNP
Primary Care Nurse Practitioner in Santa Rosa, California
NPI 1700669611

Liam Kenneth Elliott is a Primary Care Nurse Practitioner based in San Anselmo, CA and is specialized in Primary Care. Liam Kenneth Elliott practices in Santa Rosa, CA and has the professional credentials of FNP. The NPI Number for Liam Kenneth Elliott is 1700669611 and holds a License No. 95025942 (California).

The current practice location address for Liam Kenneth Elliott is 1300 N Dutton Ave, Santa Rosa, CA and can be reached out via phone at 707-396-5151.

Location: 1300 N Dutton Ave, Santa Rosa, CA, 94960-2243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700669611
Provider Name
Liam Kenneth Elliott
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1300 N Dutton Ave, Santa Rosa, CA, 94960-2243
Phone Number
707-396-5151
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-7112
Phone Number
707-396-5151
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-7112
Phone Number
707-396-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95025942 (California)
Definition
Definition to come...
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