Elona Jean Menge
Nurse Practitioner Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
751 S Bascom Ave Neonatology Department
San Jose
, California 95128-2604
Elona Jean Menge
Nurse Practitioner Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
751 S Bascom Ave Neonatology Department
San Jose
, California 95128-2604
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Elona Jean Menge
- 751 S Bascom Ave
- San Jose, CA
- Zip : 95128-2604
- Phone :
Second Address
- Elona Jean Menge
- 751 S Bascom Ave Neonatology Department
- San Jose, CA
- Zip : 95128-2604
- Phone : (408) 885-6428
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 485013 | CA |
| N | 363LN0000X | Nurse Practitioner - Neonatal | 485013 | CA |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 485013 | CA |
National Provider Identifier
| NPI | 1265498315 |
|---|---|
| Provider Name | Elona Jean Menge |
| First Address | San Jose, CA 95128-2604 |
| Second Address | San Jose, CA 95128-2604 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 16/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RN485013 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.