Provider Demographics
NPI:1780910216
Name:FRENCH, ELISE M (NP)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:M
Last Name:FRENCH
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Gender:F
Credentials:NP
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:10510 JEFFERSON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3102
Practice Address - Country:US
Practice Address - Phone:757-594-4720
Practice Address - Fax:757-594-4735
Is Sole Proprietor?:No
Enumeration Date:2009-10-18
Last Update Date:2012-11-15
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Provider Licenses
StateLicense IDTaxonomies
VA0024168527363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1780910216Medicaid
VAVV1381BMedicare PIN
VAVV1381AMedicare PIN
VAP00809996Medicare PIN
VAP01085413Medicare PIN