Mary Ileen Elliff, CRNFA
Registered Nurse, Registered Nurse First Assistant in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1245313477
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245313477
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Ileen Elliff
- Credential
- CRNFA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 321165 | CA | Yes |
Practice location
76 Brookwood AveSanta Rosa Ambulatory Surgery Center
Santa Rosa, CA 95404
Phone 510-970-5000
Mailing address
Po Box 1288Healdsburg, CA 95448
Phone 707-433-6279 · Fax 707-433-6279
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