Individual provider · Type 1 NPI

Elizabeth Mary Medina, AG ACNP-BC

Acute Care Nurse Practitioner · Burlingame, CA

NPI number 1629549076 Active

Practice location

1501 Trousdale Dr
Burlingame, CA 94010-4506

Mailing address

5 Piedmont St Apt 2
San Francisco, CA 94117-4534

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XNP95009719 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1629549076

Elizabeth Mary Medina, AG ACNP-BC's National Provider Identifier is 1629549076, issued on Dec 11, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Burlingame, CA. The record was last updated on Jan 4, 2019.