Dimitry, Elizabeth
Dimitry, Elizabeth is an individual health care provider with primary practice located at 1545 Tulane Ave , New Orleans LA 70112-2821. 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. Dimitry, Elizabeth can be contacted via phone (504) 903-1301.Contact Information
Primary practice address
1545 Tulane Ave
New Orleans LA 70112-2821
Phone: (504) 903-1301
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN090596 | Louisiana |
Profile Details
NPI number | 1346462769 |
---|---|
LBN Legal business name | Dimitry, Elizabeth |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2007 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346462769 | NPPES |
Louisiana | Other | RN090596 | STATE LICENSE NUMBER |
Louisiana | MEDICAID | 14366241 | STATE LICENSE NUMBER |
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