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Individual

ELIZABETH LOUISE FARRELL OPPENHEIM

Active
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Individual

ELIZABETH LOUISE FARRELL OPPENHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211195
GA
363LN0000X
Neonatal Nurse Practitioner
RN211195
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN211195
GA

Other

Enumeration date
09/21/2017
Last updated
10/22/2018
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