Individual
ELIZABETH K. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
49 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 885-4479
(207) 883-2586
Mailing address
49 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 885-4479
(207) 883-2586
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-832
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404850099
—
ME
Enumeration date
06/16/2006
Last updated
06/05/2008
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