Provider Demographics
NPI:1649596008
Name:ELIAS, ISABEL AREZU (PA-C)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:AREZU
Last Name:ELIAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 36TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3915
Mailing Address - Country:US
Mailing Address - Phone:502-457-1094
Mailing Address - Fax:
Practice Address - Street 1:633 36TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3915
Practice Address - Country:US
Practice Address - Phone:502-457-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant