Individual
MS. ELIZABETH L. ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24 LINDY PL, OLD TAPPAN, NJ 07675-6907
(914) 384-8478
Mailing address
24 LINDY PL, OLD TAPPAN, NJ 07675-6907
(914) 384-8478
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
265475-1
NY
163WW0000X
Wound Care Registered Nurse
26NR05000600
NJ
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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