Provider Demographics
NPI:1578542676
Name:ATKINS, ELISE F (MD)
Entity Type:Individual
Prefix:
First Name:ELISE F
Middle Name:
Last Name:ATKINS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:849 ALMAR AVE STE C-177
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-5875
Mailing Address - Country:US
Mailing Address - Phone:831-400-5665
Mailing Address - Fax:831-346-4851
Practice Address - Street 1:2112A SOQUEL AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-1401
Practice Address - Country:US
Practice Address - Phone:831-400-5665
Practice Address - Fax:831-346-4851
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2023-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA87393207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine