Individual
ELIZABETH ANN ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11775
OH
363LA2200X
Adult Health Nurse Practitioner
11775
OH
Other
Enumeration date
08/26/2010
Last updated
09/18/2012
Update your record
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