Elizabeth Phelan, RN FNP-BC MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN 464512 Issued in CA

Practice address

2077 Harbor Blvd
Costa Mesa, CA 92627-2630

Phone

(949) 722-2510

NPI assigned

Jul 14, 2015

Last updated

Jul 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1144604794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CORPORATE PLAZA DR STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607921",
            "telephone_number": "949-244-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272630",
            "telephone_number": "949-722-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "ELIZABETH",
        "credential": "RN FNP-BC MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN 464512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viet Hoang Pham
• Allison My-Duyen Phan
• Sandy Phan, DMD
• Thao Minh Phan, M.D.
• Thomas Ngoc Phan, M.D.
• Tracy Phelps
• Gaven Miran Phifer
• Lisa Kristina Phillips, PH.D.
• Megen Phillips
• Alan Phu

• Family Nurse Practitioner in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.