Individual
ELIZABETH A. DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1100 GOETHALS DR STE E, RICHLAND, WA 99352-3301
(509) 942-3095
(509) 942-3097
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 473-0637
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57927
WV
363L00000X
Nurse Practitioner
5018691
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61278967
WA
363LA2100X
Acute Care Nurse Practitioner
NP-05417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592451
ANTHEM
OH
01
—
000000699820
ANTHEM
OH
05
—
2888157
—
OH
01
—
P00719631
RRMCR
OH
Enumeration date
06/15/2006
Last updated
08/15/2024
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