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Individual

ELIZABETH L SAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1234 FRANKLIN RD SW, ROANOKE, VA 24016-4606
(540) 345-1561
(540) 345-2112
Mailing address
1234 FRANKLIN RD SW, ROANOKE, VA 24016-4606
(540) 345-1561
(540) 345-2112

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024169461
VA
363LF0000X
Family Nurse Practitioner
Primary
36546
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
VA
Enumeration date
07/15/2011
Last updated
09/04/2024
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