ELISABETH HELEN CEDERBLOM FNP NPI 1144301177

NPI Information

  • NPI: 1144301177
  • Provider Name: ELISABETH HELEN CEDERBLOM, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 604 ROSE AVE
    VENICE, CA
    ZIP 90291
  • Phone: (310) 392-8636

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NPI Details

Elisabeth Helen Cederblom, FNP is a family nurse practitioner in Venice, CA with 20 years of experience. Elisabeth Helen Cederblom, FNP NPI is 1144301177. 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:

604 ROSE AVE
VENICE, CA
ZIP 90291-767
Phone: (310) 392-8636

The NPI 1144301177 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 10/17/2006 and was last updated on 2/17/2021.

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
1363LF0000XNurse PractitionerFamilyNP15746CALIFORNIAYes

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: 3/30/2025

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