Provider Demographics
NPI:1811913023
Name:NEWBOLD, ELIZA B (NP, MSN, RN)
Entity type:Individual
Prefix:MS
First Name:ELIZA
Middle Name:B
Last Name:NEWBOLD
Suffix:
Gender:F
Credentials:NP, MSN, RN
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Other - Middle Name:
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Mailing Address - Street 1:4248 20TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2840
Mailing Address - Country:US
Mailing Address - Phone:415-255-7710
Mailing Address - Fax:
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:SF GENERAL HOSPITAL, DEPT. OF MEDICINE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8233
Practice Address - Fax:415-206-4138
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN552059163WM0705X
CANPF15244363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical