Elyse A. Cohen, RN

Individual provider Active NPI Registered Nurse · Seaside, CA

NPI 1629440334 · NPPES record last updated Oct 21, 2015

Key facts

NPI
1629440334
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
846519 (CA)
Practice address
625 Hilby Ave
Seaside, CA 93955-5720
Phone
(831) 394-1691
Fax
(831) 394-1870
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
846519CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 846519 CA Yes

Addresses

Primary practice location

625 Hilby Ave
Seaside, CA 93955-5720

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619

Other providers in Seaside, CA

All providers in Seaside, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.