Provider Demographics
NPI:1871781112
Name:HADA-SOUZA, ELAYNE NAOMI (RN)
Entity type:Individual
Prefix:MRS
First Name:ELAYNE
Middle Name:NAOMI
Last Name:HADA-SOUZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ELAYNE
Other - Middle Name:NAOMI
Other - Last Name:HADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1380 HOWARD ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2638
Mailing Address - Country:US
Mailing Address - Phone:415-255-3673
Mailing Address - Fax:415-255-3496
Practice Address - Street 1:1380 HOWARD ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2638
Practice Address - Country:US
Practice Address - Phone:415-255-3673
Practice Address - Fax:415-255-3496
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABRN 270749163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse