Individual
ELIZABETH M PERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PHD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R18575
ND
363LX0106X
Occupational Health Nurse Practitioner
R18575
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469197
—
ND
Enumeration date
01/17/2007
Last updated
04/18/2017
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