Individual
ELIZABETH ANN OUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1113 S STATE ST, DOVER, DE 19901-4112
(302) 735-8720
(302) 735-8724
Mailing address
1113 S STATE ST, DOVER, DE 19901-4112
(302) 735-8720
(302) 735-8724
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C5-0000614
DE
363AM0700X
Medical Physician Assistant
Primary
C50000614
DE
Other
Enumeration date
05/21/2008
Last updated
05/15/2015
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