Provider Demographics
NPI:1235363102
Name:DENKER, ELISABETH MARIE (RN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:MARIE
Last Name:DENKER
Suffix:
Gender:F
Credentials:RN FNP-C
Other - Prefix:MISS
Other - First Name:ELISABETH
Other - Middle Name:MARIE
Other - Last Name:ESTESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:290 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401
Mailing Address - Country:US
Mailing Address - Phone:650-343-4597
Mailing Address - Fax:650-343-3402
Practice Address - Street 1:290 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-343-4597
Practice Address - Fax:650-343-3402
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA693752163W00000X
CA18027363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse