Dannewald, Elizabeth Smith

Dannewald, Elizabeth Smith is an individual health care provider with primary practice located at 625 E Broadway Ave , Jackson WY 83001. 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 / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dannewald, Elizabeth Smith can be contacted via phone (307) 739-6195.

Contact Information

Primary practice address
625 E Broadway Ave Jackson WY 83001
Phone: (307) 739-6195
Fax: (307) 739-7229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 44970 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 44970 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44970 Wyoming

Profile Details

NPI number 1669949590
LBN Legal business name Dannewald, Elizabeth Smith
Credentials APRN, AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2018
Last updated Jan 22nd, 2021 - 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 1669949590 NPPES
Wyoming MEDICAID 154469300

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