Individual
ELIZABETH CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5275 LINCOLN HWY, GAP, PA 17527-9427
(717) 442-8111
(717) 442-8981
Mailing address
5275 LINCOLN HWY, GAP, PA 17527-9427
(717) 442-8111
(717) 442-8981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN281307L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN281307L
RN LICENSE
PA
01
—
SP010547
CRNP LICENSE
PA
Enumeration date
01/22/2010
Last updated
01/22/2010
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