Individual provider · Type 1 NPI
Elaine A. Edmiston
Pediatric Nurse Practitioner · Vista, CA
NPI number
1669488680
Active
Practice location
1000 Vale Terrace Dr
Vista, CA 92084-5218
Fax (760) 414-3795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1867 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1669488680
Elaine A. Edmiston's National Provider Identifier is 1669488680, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Vista, CA. The record was last updated on Dec 23, 2010.