Individual provider · Type 1 NPI

Elise O. Pedersen, RN, MSN, CPNP

Pediatric Nurse Practitioner · Houston, TX

NPI number 1639559057 Active

Practice location

6701 Fannin St
Houston, TX 77030-2608

Mailing address

2 Greenway Plz, Suite 300
Houston, TX 77046-0297

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN 121359 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1639559057

Elise O. Pedersen, RN, MSN, CPNP's National Provider Identifier is 1639559057, issued on Jun 1, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Houston, TX. The record was last updated on Jun 1, 2015.