Individual
ELIZABETH SULLINS TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,FNP-C,PMHNP-BC
Contact information
Practice address
3150 CUSTER DR STE 101, LEXINGTON, KY 40517-4010
(859) 368-0434
(859) 368-0437
Mailing address
3150 CUSTER DR STE 101, LEXINGTON, KY 40517-4010
(859) 368-0434
(859) 368-0437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5215P
KY
363LA2100X
Acute Care Nurse Practitioner
666168
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5215P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170018901
—
TX
05
—
7100030120
—
KY
Enumeration date
10/06/2006
Last updated
02/29/2024
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