Individual
MISS ELIZABETH ANN NEUDECKER
Active
Individual
MISS ELIZABETH ANN NEUDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0991633
CO
363LG0600X
Gerontology Nurse Practitioner
Primary
2016025273
MO
363LG0600X
Gerontology Nurse Practitioner
209013711
IL
Other
Enumeration date
02/12/2015
Last updated
10/01/2025
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