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NPI Code Detail

MEDICARE: MRS. ELIZABETH P SEVERANCE ARNP

MEDICARE:  MRS. ELIZABETH P SEVERANCE  ARNP
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
1363LP0200XPediatric Nurse PractitionerAPRN2718212FL
2363L00000XNurse PractitionerARNP2718212FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598841967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH P SEVERANCE ARNP
Provider Business Mailing Address
First Line : PO BOX 100234
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0234
Country : US
Telephone Number : 352-392-3641
Fax Number :
Provider Business Practice Location Address
First Line : 4197 NW 86TH TER FL 3
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-9278
Country : US
Telephone Number : 352-265-5404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2006
Last Update Date : 07/27/2024

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