Menge, Elona Jean

Menge, Elona Jean is an individual health care provider with primary practice located at 751 S Bascom Ave Neonatology Department, San Jose CA 95128-2604. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Menge, Elona Jean can be contacted via phone (408) 885-6428.

Contact Information

Primary practice address
751 S Bascom Ave Neonatology Department San Jose CA 95128-2604
Phone: (408) 885-6428
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 485013 California
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 485013 California
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 485013 California

Profile Details

NPI number 1265498315
LBN Legal business name Menge, Elona Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 16th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265498315 NPPES
California MEDICAID RN485013

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