Individual
ELIZABETH ANNE TISZAVARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(402) 474-4212
Mailing address
704 S 29TH ST, LINCOLN, NE 68510-1415
(402) 474-4212
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100921
NE
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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