Provider Demographics
NPI:1538321450
Name:SCRUTH, ELIZABETH A (RN CNS)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:SCRUTH
Suffix:
Gender:F
Credentials:RN CNS
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Mailing Address - Street 1:275 HOSPITAL PKWY STE 700
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1102
Mailing Address - Country:US
Mailing Address - Phone:408-972-7515
Mailing Address - Fax:408-972-7216
Practice Address - Street 1:275 HOSPITAL PKWY STE 700
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1102
Practice Address - Country:US
Practice Address - Phone:408-972-7515
Practice Address - Fax:408-972-7216
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA2497364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine