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Elizabeth Shallenberger, NP
Gerontology Nurse Practitioner in Los Angeles, California
NPI 1790880961

Elizabeth Shallenberger is a Gerontology Nurse Practitioner based in Los Angeles, CA and is specialized in Gerontology. Elizabeth Shallenberger practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Elizabeth Shallenberger is 1790880961 and holds a License No. 16796 (California).

The current practice location address for Elizabeth Shallenberger is 1510 San Pabl Street, Los Angeles, CA and can be reached out via phone at 323-442-5907 and via fax at 323-442-6020.

Location: 1510 San Pabl Street, Los Angeles, CA, 90031-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790880961
Provider Name
Elizabeth Shallenberger
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1510 San Pabl Street, Los Angeles, CA, 90031-0309
Phone Number
323-442-5907
Fax Number
323-442-6020
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0390071 05 MA
NP2988 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1510 San Pabl Street
City
Los Angeles
State
California
Zip
90033-5320
Phone Number
323-442-5907
Fax Number
323-442-6020
person
Provider Business Mailing Address Details
Address
1510 San Pabl Street
City
Los Angeles
State
California
Zip
90033-5320
Phone Number
323-442-5907
Fax Number
323-442-6020
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
213285 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
16796 (California)
Definition
Definition to come...
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