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Individual

ELIZABETH W CHILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51104-5410
(712) 252-2477
(712) 252-5516
Mailing address
1021 NEBRASKA ST, P.O. BOX 5410, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5516

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000243
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0474254
IA
01
39751
WELLMARK
IA
01
4994586
WELLMARK
SD
05
6827970
SD
Enumeration date
07/09/2006
Last updated
09/29/2011
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