ELIZABETH BARBARA WILLERUP RNP NPI 1003801820

Nurse Practitioner (Psych/Mental Health) in Roseville, CA

Individual Female Nurse Practitioner Psych/Mental Health

About ELIZABETH WILLERUP

Elizabeth Willerup is a provider established in Roseville, California and her medical specialization is nurse practitioner. The NPI number of Elizabeth Willerup is 1003801820 and was assigned on September 2005. The practitioner's primary taxonomy code is 363LP0808X with license number 318629 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI

1003801820

Provider Name ELIZABETH BARBARA WILLERUP RNP
Provider Location Address1643 EUREKA RD ROSEVILLE, CA 95661
Provider Mailing Address1643 EUREKA RD ROSEVILLE, CA 95661
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-19-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsych/Mental Health
License No.318629
License StateCA

Business Address

ELIZABETH BARBARA WILLERUP RNP
1643 EUREKA RD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 771-7627
Fax: (916) 771-7650

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Mailing Address

ELIZABETH BARBARA WILLERUP RNP
1643 EUREKA RD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 771-7627
Fax: (916) 771-7650

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ZZZ837342MEDICARE ID-TYPE UNSPECIFIED (04)CA

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003231283DR. WENDY LEWIS PSY.D.
Individual
Clinical Neuropsychologist1643 EUREKA RD
ROSEVILLE, CA 95661
(206) 940-0739
1083761290 KATHERINE KAY MCHENRY LCSW
Individual
Social Worker (Clinical)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7611
1295885564 DAWN LEVINE PHD
Individual
Clinical Neuropsychologist1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7684
1396892170 ROBIN PATRICIA FENNEL LCSW
Individual
Social Worker (Clinical)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7603
1427523232 PAMELA CLAIRE HEGNER
Individual
Social Worker1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 784-4000
1457415556MS. SUSAN M GLOWES LCSW
Individual
Social Worker (Clinical)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-1643
1477669679 LOUIS ANTHONY LASPRUGATO LMFT
Individual
Marriage & Family Therapist1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7620
1528129053 ROSALIE ANN KEIKO CALABRESE PH.D.
Individual
Psychologist (Clinical)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 973-5300
1619004587MS. DANIELE WELLS LCSW
Individual
Social Worker1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7627
1619039005DR. RANDI PARIS-SALB PSY.D., R.N.
Individual
1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 973-5300
1639235815MR. MORGAN ALLYN SMITH L.C.S.W.
Individual
Social Worker (Clinical)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7653
1831256197 AMANDA ROBERTS MCCLINTOCK LMFT
Individual
Marriage & Family Therapist1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 973-5768
1891854741DR. THOMAS L. CURTIS PH.D.
Individual
1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7613
1902127038DR. HELENA HART-RATHBUN M.D., M.P.H.
Individual
Psychiatry & Neurology (Psychiatry)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 472-4714
1932435385 BARBARA RUSLANA LUKIANOFF ODELL LCSW
Individual
Social Worker (Clinical)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7637
1942510813 SHERRILYN ROBERTSON WESTBROOK PH.D.
Individual
Psychologist (Clinical)1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7611

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
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?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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