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Individual
ELIZABETH E MCCORMACK
Active
Individual
ELIZABETH E MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3151122
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3151122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306069100
—
FL
01
—
Y107Y
FLORIDA BLUE
FL
Enumeration date
01/17/2007
Last updated
09/08/2013
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