Individual
ELIZABETH GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
5957 GALVESTON RD, BELTON, TX 76513-8496
(317) 402-9363
Mailing address
5957 GALVESTON RD, BELTON, TX 76513-8496
(317) 402-9363
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031479
OH
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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