Individual
ELIZABETH A MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 205, PADUCAH, KY 42003-7914
(270) 441-4300
(270) 441-4370
Mailing address
225 MEDICAL CENTER DR, SUITE 205, PADUCAH, KY 42003-7914
(270) 441-4300
(270) 441-4370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3907P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78008901
—
KY
Enumeration date
10/03/2006
Last updated
07/08/2007
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