Individual
MS. ELIZABETH ANN TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2200 CONNER RD, HEBRON, KY 41048-8142
(859) 301-2574
(859) 301-2997
Mailing address
2200 CONNER RD, HEBRON, KY 41048-8142
(859) 301-2574
(859) 301-2997
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3006916
KY
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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