Individual
MS. ELIZABETH A WITTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10 E SPRUCE ST, FRACKVILLE, PA 17931
(570) 621-4940
(570) 621-4904
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN521974L
PA
363LA2200X
Adult Health Nurse Practitioner
SP007836
PA
363LF0000X
Family Nurse Practitioner
Primary
SP008453
PA
Other
Enumeration date
02/21/2006
Last updated
07/10/2018
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