Individual
ELISABETH K DEGENHARDT
Active
Individual
ELISABETH K DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000009C
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980490
—
IN
01
—
28089558A
RN LICENSE
IN
Enumeration date
01/07/2008
Last updated
03/07/2023
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