Individual
ELIZABETH K IMATHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 SAUL ST, HUTTO, TX 78634-3321
(737) 275-9706
Mailing address
302 SAUL ST, HUTTO, TX 78634-3321
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1169167
TX
363LA2200X
Adult Health Nurse Practitioner
1169167
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
1169167
TX
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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