Provider Demographics
NPI:1114157211
Name:PAPP, ELIZABETH S (PA-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:PAPP
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 RUBY ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062
Mailing Address - Country:US
Mailing Address - Phone:650-454-6507
Mailing Address - Fax:
Practice Address - Street 1:3060 BROADWAY
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1512
Practice Address - Country:US
Practice Address - Phone:650-361-1177
Practice Address - Fax:650-361-1826
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA15356363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical