Individual
ELIZABETH WEISSBART WASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4340 GOLDEN CENTER DR STE B, PLACERVILLE, CA 95667-6280
(530) 621-7700
Mailing address
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6269
(530) 621-7700
(518) 395-9431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013662
CA
363LF0000X
Family Nurse Practitioner
F343571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICARE PIN
NY
Enumeration date
09/10/2018
Last updated
08/20/2024
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