Individual
ELIZABETH KATZ BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, RM 4B42, WASHINGTON, DC 20010-2976
(202) 877-7259
(202) 877-7258
Mailing address
1201 SEVEN LOCKS RD, SUITE 200, ROCKVILLE, MD 20854-2931
(301) 652-5771
(301) 652-6332
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN967858
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006164600
—
MD
05
—
010259304
—
VA
05
—
037403600
—
DC
Enumeration date
09/27/2006
Last updated
08/27/2013
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