Individual
MS. ELIZABETH NUGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
87 PAINE MOUNTAIN DR, NORTHFIELD, VT 05663
(802) 485-4161
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4876
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2011
Last updated
08/31/2018
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