Anderson, Elizabeth Gayle

Anderson, Elizabeth Gayle is an individual health care provider with primary practice located at 1005 Mar Walt Drive Care Coordination Department, Fort Walton Beach FL 32547-6796. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Anderson, Elizabeth Gayle can be contacted via phone (850) 863-8202.

Contact Information

Primary practice address
1005 Mar Walt Drive Care Coordination Department Fort Walton Beach FL 32547-6796
Phone: (850) 863-8202
Fax: (850) 862-6198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3412702 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP3412702 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3412702 Florida

Profile Details

NPI number 1184026254
LBN Legal business name Anderson, Elizabeth Gayle
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2014
Last updated Oct 31st, 2018 - about 6 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 1184026254 NPPES
Florida MEDICAID 014192700
Florida Other Y0R4T

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