Individual
MS. ELIZABETH A. MONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
270915-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912998451
—
DE
05
—
403158000
—
MD
01
—
622436-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
11/03/2005
Last updated
05/29/2019
Update your record
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