Healthcare Provider Details

I. General information

NPI: 1942674445
Provider Name (Legal Business Name): ELIZABETH PANCRAZIO DNP, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34-36 PROGRESS ST STE A6
EDISON NJ
08820-1197
US

IV. Provider business mailing address

4408 ATLANTIC BRIGANTINE BLVD
BRIGANTINE NJ
08203-3512
US

V. Phone/Fax

Practice location:
  • Phone: 610-627-4400
  • Fax:
Mailing address:
  • Phone: 609-413-5682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00583100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP016626
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: