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Individual
ELIZABETH J HOTALING
Active
Individual
ELIZABETH J HOTALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
283179
NC
363L00000X
Nurse Practitioner
Primary
SP009478
PA
363LF0000X
Family Nurse Practitioner
5008279
NC
363LF0000X
Family Nurse Practitioner
F336503-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02920143
—
PA
01
—
GU039807
MEDICARE GROUP
PA
Enumeration date
08/28/2007
Last updated
10/25/2023
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