Individual
MS. ELIZABETH YVETTE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 MORTON AVE, PETERSBURG, VA 23805-2749
(804) 862-8004
(804) 862-6158
Mailing address
2806 TRARICH RD, PETERSBURG, VA 23805-2615
(804) 862-8004
(804) 862-6158
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002050868
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002050868
LPN
VA
Enumeration date
08/01/2006
Last updated
07/08/2007
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