Anderson, Elizabeth A.

Anderson, Elizabeth A. is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Anderson, Elizabeth A. can be contacted via phone (812) 331-3401.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Phone: (812) 331-3401
Fax: (812) 335-0027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002465A Indiana

Profile Details

NPI number 1689868770
LBN Legal business name Anderson, Elizabeth A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Dec 2nd, 2020 - about 4 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 1689868770 NPPES
Indiana MEDICAID 200873140

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