Provider Demographics
NPI:1871375626
Name:CARTHON, ELYSIA (RN)
Entity type:Individual
Prefix:MRS
First Name:ELYSIA
Middle Name:
Last Name:CARTHON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11219 HERMES ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7634
Mailing Address - Country:US
Mailing Address - Phone:562-965-9032
Mailing Address - Fax:
Practice Address - Street 1:11219 HERMES ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-7634
Practice Address - Country:US
Practice Address - Phone:562-965-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA615248163WC0400X, 163WC2100X, 163WD0400X, 163WI0500X, 163WI0600X, 163WN1003X, 163WS0200X, 163WW0000X, 171400000X, 343900000X, 372600000X, 163WC1500X
251E00000X, 342000000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No171400000XOther Service ProvidersHealth & Wellness Coach
No251E00000XAgenciesHome Health
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide