Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elaine Van de Wille

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699249458

Elaine Van de Wille is a Student in an Organized Health Care Education/Training Program in Oceanside, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3633 Vista Way
Oceanside, CA 92056-4568
Phone: (760) 729-7298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3609 N 109th Ave, Avondale, AZ 85392 — (602) 882-5021
  • 3609 N 109th Ave, Avondale, AZ 85392 — (602) 882-5021

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 305823 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699249458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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