Provider Demographics
NPI:1407038243
Name:STERNER, ELIZABETH ADAMS
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ADAMS
Last Name:STERNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 ALLSTON WAY H-105
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94708
Mailing Address - Country:US
Mailing Address - Phone:510-644-6308
Mailing Address - Fax:510-644-2887
Practice Address - Street 1:1980 ALLSTON WAY # H-105
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1463
Practice Address - Country:US
Practice Address - Phone:510-644-6308
Practice Address - Fax:510-644-2887
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZR11499FOtherMEDI-CAL