Provider Demographics
NPI:1417570607
Name:ELKIND, AMY PATRICIA (RN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:PATRICIA
Last Name:ELKIND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4530 LISANN ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-2438
Mailing Address - Country:US
Mailing Address - Phone:858-472-1584
Mailing Address - Fax:
Practice Address - Street 1:3341 BROWNING ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-1514
Practice Address - Country:US
Practice Address - Phone:619-223-4518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA542671163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool