Devries, Elizabeth

Devries, Elizabeth is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Devries, Elizabeth can be contacted via phone (414) 266-3360.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 266-3360
Fax: (414) 266-3563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 774133 Wisconsin

Profile Details

NPI number 1710408497
LBN Legal business name Devries, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2017
Last updated Jun 5th, 2021 - about 3 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 1710408497 NPPES
Wisconsin MEDICAID 1710408497

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