Provider Demographics
NPI:1720281520
Name:APANA, ELIZABETH GROVE (MPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GROVE
Last Name:APANA
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 HOWARD ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2638
Mailing Address - Country:US
Mailing Address - Phone:415-255-3621
Mailing Address - Fax:415-252-3088
Practice Address - Street 1:1380 HOWARD ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2638
Practice Address - Country:US
Practice Address - Phone:415-255-3621
Practice Address - Fax:415-252-3088
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11783OtherSFGH INTERNAL USE ONLY
11783OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER