Provider Demographics
NPI:1538402409
Name:DELA PENA, ELVIRA DE FRANCIA (NP)
Entity type:Individual
Prefix:MRS
First Name:ELVIRA
Middle Name:DE FRANCIA
Last Name:DELA PENA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:ELVIRA
Other - Middle Name:GARCIA
Other - Last Name:DE FRANCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:1550 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4819
Mailing Address - Country:US
Mailing Address - Phone:805-354-6081
Mailing Address - Fax:
Practice Address - Street 1:1550 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4819
Practice Address - Country:US
Practice Address - Phone:805-354-6081
Practice Address - Fax:805-922-5341
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21911363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily