Mayerson, Elizabeth A

Mayerson, Elizabeth A is an individual health care provider with primary practice located at 1776 Boston Tpke , Coventry CT 06238-1160. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mayerson, Elizabeth A can be contacted via phone (860) 742-0807.

Contact Information

Primary practice address
1776 Boston Tpke Coventry CT 06238-1160
Phone: (860) 742-0807
Fax: (860) 742-8702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000781 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000781 Connecticut

Profile Details

NPI number 1053367060
LBN Legal business name Mayerson, Elizabeth A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 31st, 2011 - about 15 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 1053367060 NPPES
Other 1053367060 NPI

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