Mrs Tawanda Lucille Elam-brown, - Nurse Practitioner in Eastvale, CA

Mrs Tawanda Lucille Elam-brown, is a Nurse Practitioner - Family based in Eastvale, California. Mrs Tawanda Lucille Elam-brown is licensed to practice in California (license number 95031812) and her current practice location is 12442 Limonite Ave Unit 205, Eastvale, California. She can be reached at her office (for appointments etc.) via phone at (909) 429-2864.

NPI number for Mrs Tawanda Lucille Elam-brown is 1689407926 and her current mailing address is 12442 Limonite Ave Unit 205, Eastvale, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689407926.

Contact Information

Mrs Tawanda Lucille Elam-brown,
12442 Limonite Ave Unit 205,
Eastvale, CA 91752-2467
(909) 429-2864
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tawanda Lucille Elam-brown
GenderFemale
SpecialityNurse Practitioner - Family
Location12442 Limonite Ave Unit 205, Eastvale, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689407926
  • Provider Enumeration Date: 08/22/2024
  • Last Update Date: 10/23/2024

Medical Identifiers

Medical identifiers for Mrs Tawanda Lucille Elam-brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689407926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95031812 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tawanda Lucille Elam-brown is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tawanda Lucille Elam-brown,
12442 Limonite Ave Unit 205,
Eastvale, CA 91752-2467

Ph: (909) 429-2864
Mrs Tawanda Lucille Elam-brown,
12442 Limonite Ave Unit 205,
Eastvale, CA 91752-2467

Ph: (909) 429-2864

Reviews and Comments


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