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Individual
ELIZABETH L FIRESTONE
Active
Individual
ELIZABETH L FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110466
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37301
BCBS
NE
05
—
470780857 23
—
NE
01
—
48540
BCBS
—
01
—
48541
BCBS
—
Enumeration date
07/17/2006
Last updated
06/06/2012
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