Individual
MRS. ELIZABETH P SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4197 NW 86TH TER FL 3, GAINESVILLE, FL 32606-9278
(352) 265-5404
Mailing address
PO BOX 100234, GAINESVILLE, FL 32610-0234
(352) 392-3641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2718212
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN2718212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014234300
—
FL
Enumeration date
10/28/2006
Last updated
07/27/2024
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