Individual
ELIZABETH ANNE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-3491
(404) 785-7174
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-7174
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
331074
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465641382
—
OK
Enumeration date
08/28/2018
Last updated
09/09/2024
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