Henry, Elizabeth J

Henry, Elizabeth J is an individual health care provider with primary practice located at 8400 Washington Ave , Mount Pleasant WI 53406-3735. 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. Henry, Elizabeth J can be contacted via phone (262) 884-4000.

Contact Information

Primary practice address
8400 Washington Ave Mount Pleasant WI 53406-3735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6135 Wisconsin

Profile Details

NPI number 1619374592
LBN Legal business name Henry, Elizabeth J
Credentials DNP, RN, FNP-BC,APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Jan 4th, 2024 - about last year

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 1619374592 NPPES
Wisconsin MEDICAID 100042723
Wisconsin MEDICAID 1619374592

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