ELIZABETH ANNE EATON APRN CPNP NPI 1073094918

NPI Information

NPI: 1073094918
Provider Name: ELIZABETH ANNE EATON, APRN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
15004 INNOVATION DR
SAN DIEGO, CA
ZIP 92128
Phone: (858) 605-7969
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Elizabeth Anne Eaton, APRN, CPNP is a pediatrics nurse practitioner in San Diego, CA. Elizabeth Anne Eaton, APRN, CPNP NPI is 1073094918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15004 INNOVATION DR
SAN DIEGO, CA
ZIP 92128-491
Phone: (858) 605-7969

The NPI 1073094918 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 2/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	130040	OKLAHOMA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	NP95022082	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	465641382	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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