Healthcare Provider Details

I. General information

NPI: 1609787365
Provider Name (Legal Business Name): ELIZABETH A FLICKNER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3744 STATE ROUTE 257
SENECA PA
16346-3318
US

IV. Provider business mailing address

3744 STATE ROUTE 257
SENECA PA
16346-3318
US

V. Phone/Fax

Practice location:
  • Phone: 814-677-8922
  • Fax: 814-676-1645
Mailing address:
  • Phone: 814-677-8922
  • Fax: 814-676-1645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036932
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: