Provider Demographics
NPI:1952896433
Name:WOOLFOLK-ELLIOTT, EULALIE DECASTRO (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:EULALIE
Middle Name:DECASTRO
Last Name:WOOLFOLK-ELLIOTT
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SOLECITA WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-4754
Mailing Address - Country:US
Mailing Address - Phone:661-346-2759
Mailing Address - Fax:
Practice Address - Street 1:25 SOLECITA WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-4754
Practice Address - Country:US
Practice Address - Phone:661-314-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA826551163WC0400X, 163WC1600X, 163WC2100X, 163WH0200X, 163WH1000X, 163WI0600X, 163WW0000X, 163WX1500X, 163W00000X
CAU0203673343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)