Kandace Lyn Eller, GNP-BC
Nurse Practitioner, Gerontology in San Diego, CA. Individual provider (NPI-1).
NPI number1306271069
StatusActive
Last updated in NPPESSep 12, 2013
Details
- NPI
- 1306271069
- Entity type
- Individual (NPI-1)
- Name
- Kandace Lyn Eller
- Credential
- GNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2013
- Last updated
- Sep 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 28086571A | IN | Yes |
Practice location
4715 Viewridge AveSan Diego, CA 92123-1658
Phone 800-257-8715
Mailing address
1404 Fairfax DrLafayette, IN 47909-3717
Phone 765-430-0245
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