Eriksson, Elizabeth

Eriksson, Elizabeth is an individual health care provider with primary practice located at 1893 N Clyde Morris Blvd Ste 120 , Daytona Beach FL 32117-5536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Eriksson, Elizabeth can be contacted via phone (386) 675-6778.

Contact Information

Primary practice address
1893 N Clyde Morris Blvd Ste 120 Daytona Beach FL 32117-5536
Phone: (386) 675-6778
Fax: (386) 675-6782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3354322 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3354322 Florida

Profile Details

NPI number 1275869596
LBN Legal business name Eriksson, Elizabeth
Credentials ARNP, ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2009
Last updated Jul 5th, 2022 - about 2 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 1275869596 NPPES
Florida MEDICAID 009122900

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