MEDICARE: ELIZABETH LAUREN MAIER

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	RN2322681	MA

General Provider Information

NPI Number	:	1316879109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LAUREN MAIER

Provider Business Mailing Address
First Line	:	325 STILLWATER CT
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29681-7277
Country	:	US
Telephone Number	:	585-419-5734
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 STILLWATER CT
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29681-7277
Country	:	US
Telephone Number	:	585-419-5734
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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