Individual
ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP FNP
Contact information
Practice address
101 ADIRONDACK DR STE 2, TICONDEROGA, NY 12883-9334
(518) 585-6708
(518) 585-3260
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05695776
—
NY
Enumeration date
06/14/2019
Last updated
05/23/2025
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