Provider Demographics
NPI:1720219272
Name:CARNEY, ELIZABETH L (CNC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:L
Last Name:CARNEY
Suffix:
Gender:F
Credentials:CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 2ND ST
Mailing Address - Street 2:#459
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1498
Mailing Address - Country:US
Mailing Address - Phone:415-442-0262
Mailing Address - Fax:
Practice Address - Street 1:461 2ND ST
Practice Address - Street 2:#459
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1498
Practice Address - Country:US
Practice Address - Phone:415-442-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist