Provider Demographics
NPI: | 1205138476 |
---|---|
Name: | SEITZ, ELENA FRANCESCA (MSN,RN,APRN,PMHNP-BC) |
Entity type: | Individual |
Prefix: | MS |
First Name: | ELENA |
Middle Name: | FRANCESCA |
Last Name: | SEITZ |
Suffix: | |
Gender: | F |
Credentials: | MSN,RN,APRN,PMHNP-BC |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 90 VAN NESS AVENUE |
Mailing Address - Street 2: | CENTRAL CITY OLDER ADULTS CLINIC, |
Mailing Address - City: | SAN FRANCISCO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 94102-6013 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 415-558-5998 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 90 VAN NESS AVE |
Practice Address - Street 2: | CENTRAL CITY OLDER ADULT CLINIC, |
Practice Address - City: | SAN FRANCISCO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 94102-6013 |
Practice Address - Country: | US |
Practice Address - Phone: | 415-558-5998 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2010-11-22 |
Last Update Date: | 2022-07-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 691648 | 163WC0200X, 163W00000X, 163WC1500X, 163WC3500X, 163WG0600X, 163WH1000X, 163WM0705X, 163WN0800X, 163WP0000X, 163WP0808X, 363LP0808X |
CA | 95001770 | 363L00000X, 363LC1500X |
MA | 168396 | 363LP0808X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
No | 163WC0200X | Nursing Service Providers | Registered Nurse | Critical Care Medicine |
No | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 163WC1500X | Nursing Service Providers | Registered Nurse | Community Health |
No | 163WC3500X | Nursing Service Providers | Registered Nurse | Cardiac Rehabilitation |
No | 163WG0600X | Nursing Service Providers | Registered Nurse | Gerontology |
No | 163WH1000X | Nursing Service Providers | Registered Nurse | Hospice |
No | 163WM0705X | Nursing Service Providers | Registered Nurse | Medical-Surgical |
No | 163WN0800X | Nursing Service Providers | Registered Nurse | Neuroscience |
No | 163WP0000X | Nursing Service Providers | Registered Nurse | Pain Management |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
No | 363LC1500X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Community Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MA | CNP168396 | Other | MASSACHUSETTS APRN AUTHORIZATION-CNP |
MD | T20211401 | Other | RN LICENSE - MARYLAND BOARD OF REGISTERED NURSING -T |
2014027023 | Other | AMERICAN NURSES CREDENTIALING CENTER PMHNP-BC | |
CA | 95001770 | Other | NP CERTIFICATE - CALIFORNIA BOARD OF REGISTERED NURSING |
MA | RN168396 | Other | MASSACHUSETTS RN LICENSE |
CA | 691648 | Other | RN LICENSE - CALIFORNIA BOARD OF REGISTERED NURSING (BORN) |
2014027023 | Other | AMERICAN NURSES CREDENTIALING CENTER | |
CA | 95001770 | Other | CALIFORNIA NURSE PRACTITIONER FURNISHING LICENSE - CA BORN |