Individual provider · Type 1 NPI

Ellen Butensky James, PhD, PNP

Pediatric Nurse Practitioner · Oakland, CA

NPI number 1447463229 Active

Practice location

747 52nd Street, Opc 1st Floor
Oakland, CA 94609

Fax (510) 450-5877

Mailing address

747 52nd St
Oakland, CA 94609-1809

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP10228 (CA)
Pediatric Registered Nurse 163WP0200X547786 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1447463229

Ellen Butensky James, PhD, PNP's National Provider Identifier is 1447463229, issued on May 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, CA. The record was last updated on Aug 2, 2023.