Provider Demographics
NPI:1720859986
Name:ODRISCOLL, ELDRID MERETE
Entity type:Individual
Prefix:MRS
First Name:ELDRID
Middle Name:MERETE
Last Name:ODRISCOLL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 OLD TOPANGA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:TOPANGA
Mailing Address - State:CA
Mailing Address - Zip Code:90290-3824
Mailing Address - Country:US
Mailing Address - Phone:310-429-6769
Mailing Address - Fax:
Practice Address - Street 1:1130 OLD TOPANGA CANYON RD
Practice Address - Street 2:
Practice Address - City:TOPANGA
Practice Address - State:CA
Practice Address - Zip Code:90290-3824
Practice Address - Country:US
Practice Address - Phone:310-429-6769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula