Healthcare Provider Details

I. General information

NPI: 1881027316
Provider Name (Legal Business Name): ELIZABETH MCGEE KLIXBULL PMHNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E WATER ST
SLIPPERY ROCK PA
16057-1117
US

IV. Provider business mailing address

425 E WATER ST
SLIPPERY ROCK PA
16057-1117
US

V. Phone/Fax

Practice location:
  • Phone: 724-442-5605
  • Fax: 724-765-2024
Mailing address:
  • Phone: 724-442-5605
  • Fax: 724-765-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18432
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028432
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: