Individual
ELIZABETH ASHLEY MARTIN BHATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-8400
(541) 222-8401
Mailing address
CMR 402 BOX 1261, APO, AE 09180-1013
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
85070
HI
363L00000X
Nurse Practitioner
Primary
10056338
OR
363LA2100X
Acute Care Nurse Practitioner
APRN 2223
HI
363LG0600X
Gerontology Nurse Practitioner
APRN 2223
HI
Other
Enumeration date
11/15/2016
Last updated
04/30/2026
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