Most Relevant Information
Provider Data
| NPI Number: | 1003801820 |
| Provider Name: | ELIZABETH BARBARA WILLERUP RNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 318629 |
Most Important Dates
| Enumeration Date: | 09/19/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1643 EUREKA RD
ROSEVILLE
CA
956613027
Practice Location Phone/Fax
| Phone: | 9167717627 |
| Fax: | 9167717650 |
Provider Mailing Location
1643 EUREKA RD
ROSEVILLE
CA
956613027
Provider Mailing Phone/Fax
| Phone: | 9167717627 |
| Fax: | 9167717650 |