Individual
ELIZABETH ALICE ELMORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10200 FRANCIS CREEK RD, TWO RIVERS, WI 54241-9128
(920) 686-0752
Mailing address
4119 MENASHA AVE, MANITOWOC, WI 54220-1145
(920) 684-4444
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38246100
—
WI
Enumeration date
03/16/2006
Last updated
07/09/2007
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