Provider Demographics
NPI:1255137394
Name:CAPITAL SEXUAL HEALTH
Entity type:Organization
Organization Name:CAPITAL SEXUAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CRETTI
Authorized Official - Last Name:OLESON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:650-468-3026
Mailing Address - Street 1:719 2ND ST STE 9
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4666
Mailing Address - Country:US
Mailing Address - Phone:650-468-3026
Mailing Address - Fax:
Practice Address - Street 1:719 2ND ST STE 9
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4666
Practice Address - Country:US
Practice Address - Phone:650-468-3026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty