Individual
ELIZABETH LAURA JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9218478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014319400
—
FL
01
—
OB894
MEDICARE HF
FL
Enumeration date
12/28/2007
Last updated
09/16/2021
Update your record
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