ELLE MATERNAL WELLNESS NURSING PC NPI 1255226080

NPI Information

  • NPI: 1255226080
  • Provider Name: ELLE MATERNAL WELLNESS, NURSING PC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 928 FORT STOCKTON DR STE 213
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (858) 766-5645

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NPI Details

ELLE MATERNAL WELLNESS, NURSING PC is a psychiatric/mental health nurse practitioner in San Diego, CA. ELLE MATERNAL WELLNESS, NURSING PC NPI is 1255226080. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

928 FORT STOCKTON DR STE 213
SAN DIEGO, CA
ZIP 92103-890
Phone: (858) 766-5645

The provider's authorized official is Zinnia Amaresh Kidane .
The authorized official title is Ceo and has the following contact phone number (858) 766-5645.

The enumeration date for this NPI number is 6/11/2025 and was last updated on 6/11/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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