Individual
MS. ELIZABETH ANNE FOURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., N.P.
Contact information
Practice address
50 HOLY CROSS HALL, SAINT MARY'S COLLEGE, NOTRE DAME, IN 46556-5001
(574) 284-4805
(574) 284-4833
Mailing address
50 HOLY CROSS HALL, SAINT MARY'S COLLEGE,, NOTRE DAME, IN 46556-5001
(574) 284-4805
(574) 284-4833
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71000780A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200295980
—
IN
Enumeration date
05/20/2006
Last updated
09/08/2010
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