Maiden, Elizabeth Jane

Maiden, Elizabeth Jane is an individual health care provider with primary practice located at 1401 Johnston Willis Dr Suite 100, North Chesterfield VA 23235-4730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maiden, Elizabeth Jane can be contacted via phone (804) 330-7990.

Contact Information

Primary practice address
1401 Johnston Willis Dr Suite 100 North Chesterfield VA 23235-4730
Phone: (804) 330-7990
Fax: (804) 330-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024164124 Virginia

Profile Details

NPI number 1619935061
LBN Legal business name Maiden, Elizabeth Jane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 3rd, 2017 - about 7 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 1619935061 NPPES
Virginia Other C01120 MEDICARE GROUP PTAN

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