Individual
ELIZABETH PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 WALNUT LN, YOUNGSTOWN, NY 14174-1348
(905) 324-6125
Mailing address
333 WALNUT LN, YOUNGSTOWN, NY 14174-1348
(905) 324-6125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349655
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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