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NPI Code Detail

MEDICARE: ELIZABETH BUMPAS

MEDICARE: ELIZABETH BUMPAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife

General Provider Information

NPI Number : 1164388260
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BUMPAS
Provider Business Mailing Address
First Line : 2870 CHANCELLORS WAY NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20017-1415
Country : US
Telephone Number : 352-214-4015
Fax Number :
Provider Business Practice Location Address
First Line : 2333 ONTARIO RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-2627
Country : US
Telephone Number : 202-483-8196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2026
Last Update Date : 01/02/2026

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Directions to “ ELIZABETH BUMPAS ” Practice Location

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