MEDICARE: ELEV8 HEALTH & WELLNESS

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1003590365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEV8 HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	115 COLUMBUS AVE
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5550
Country	:	US
Telephone Number	:	401-258-2579
Fax Number	:

Provider Business Practice Location Address
First Line	:	1243 MINERAL SPRING AVE UNIT 7
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-4636
Country	:	US
Telephone Number	:	401-258-2579
Fax Number	:	401-340-1831

Authorized Official
Title or Position	:	FNP
Name	:	MS. ELIZABETH DA SILVA
Credential	:	APRN
Telephone Number	:	401-258-2579

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

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Directions to “ELEV8 HEALTH & WELLNESS ” Practice Location

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