Individual
MS. LIZBETH GABEL MACCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704184078
MI
163WC0400X
Case Management Registered Nurse
4704184078
MI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704184078
MI
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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