Individual
DR. ELIZABETH RENEE PREVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, DACHM
Contact information
Practice address
6324 FAIRVIEW RD STE 310, CHARLOTTE, NC 28210-4172
(980) 302-8680
(980) 302-8681
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021705
NC
363LA2200X
Adult Health Nurse Practitioner
AP2416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119371
—
AZ
Enumeration date
07/17/2006
Last updated
04/09/2025
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