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Individual

MS. ELIZABETH A. MONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
3600 NW SAMARITAN DR, SUITE E350, CORVALLIS, OR 97330-3737
(541) 768-5205
(541) 768-6520
Mailing address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-4000
(801) 507-4811

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
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