Anderson, Elizabeth

Anderson, Elizabeth is an individual health care provider with primary practice located at 101 Adirondack Dr Ste 2 , Ticonderoga NY 12883-9334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Elizabeth can be contacted via phone (518) 585-6708.

Contact Information

Primary practice address
101 Adirondack Dr Ste 2 Ticonderoga NY 12883-9334
Fax: (518) 585-3260
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F344862 New York

Profile Details

NPI number 1669032470
LBN Legal business name Anderson, Elizabeth
Credentials DNP FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2019
Last updated Dec 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669032470 NPPES
New York MEDICAID 05695776

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