Provider Demographics
NPI:1316095623
Name:STRIZZI, ELAINE (NP)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:STRIZZI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15243 VANOWEN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3605
Mailing Address - Country:US
Mailing Address - Phone:818-782-5041
Mailing Address - Fax:818-782-4864
Practice Address - Street 1:18350 ROSCOE BLVD
Practice Address - Street 2:SUITE 603
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4109
Practice Address - Country:US
Practice Address - Phone:818-993-8283
Practice Address - Fax:818-993-4919
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13508363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN208398Medicaid
CARN208398Medicaid
CAWNP13508AMedicare PIN