NPI 1720596992 · live from the CMS NPI Registry
Elizabeth Chase Balaconis, NP
Nurse Practitioner in Stanford, CA. National Provider Identifier 1720596992, active.
NPI record
| NPI | 1720596992 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 300 Pasteur Dr, Stanford, CA 94305 |
| Practice phone | 650-723-4000 |
| Enumerated | January 22, 2018 |
| Last updated | January 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology | 363LG0600X | 101-0134722 (VT) |
| Nurse Practitioner, Primary Care | 363LP2300X | RN2299054 (MA) |
| Nurse Practitioner | 363L00000X | 101-0134722 (VT) |
| Nurse Practitioner primary | 363L00000X | 95023483 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.