Individual
ELIZABETH ANN COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
801 ATCHISON ST, ATCHISON, KS 66002-2352
(913) 367-5020
(913) 367-1089
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
13-81206-051
KS
363LF0000X
Family Nurse Practitioner
53-80266-051
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
53-80266
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289111
PTAN
KS
05
—
30004945890001
—
MO
Enumeration date
02/28/2021
Last updated
03/11/2026
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