O'Brien, Elizabeth W

O'Brien, Elizabeth W is an individual health care provider with primary practice located at 201 Dates Drive Suite 206, Ithaca NY 14850. 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. O'Brien, Elizabeth W can be contacted via phone (607) 273-9111.

Contact Information

Primary practice address
201 Dates Drive Suite 206 Ithaca NY 14850
Phone: (607) 273-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 301110 New York

Profile Details

NPI number 1184687964
LBN Legal business name O'Brien, Elizabeth W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1184687964 NPPES
New York MEDICAID 01933559

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