Individual
ELIZABETH A MAYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1776 BOSTON TPKE, COVENTRY, CT 06238-1160
(860) 742-0807
(860) 742-8702
Mailing address
1776 BOSTON TPKE, COVENTRY, CT 06238-1160
(860) 742-0807
(860) 742-8702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
000781
CT
363LF0000X
Family Nurse Practitioner
Primary
000781
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053367060
NPI
—
Enumeration date
05/25/2006
Last updated
08/31/2011
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