Individual
ELIZABETH BROOKS SCISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
275 N NC-16 HWY BUS, STE 104, DENVER, NC 28037-3008
(704) 487-4677
(704) 481-8050
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(704) 887-6402
(704) 887-6450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760647127
—
NC
01
—
NCK151C494
MEDICARE NC
NC
Enumeration date
07/25/2008
Last updated
03/07/2025
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