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NPI Code Detail

MEDICARE: ELISABETH FABRIZIO FNP-BC

MEDICARE: ELISABETH FABRIZIO FNP-BC
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
1363L00000XNurse Practitioner106292CO
2363LF0000XFamily Nurse PractitionerAPN.0004490-NPCO
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0004490-NPCO

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 : 1669493383
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH FABRIZIO FNP-BC
Provider Business Mailing Address
First Line : 2620 ELM HILL PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3108
Country : US
Telephone Number : 615-425-4193
Fax Number : 615-425-4201
Provider Business Practice Location Address
First Line : 12167 SHERIDAN BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-2417
Country : US
Telephone Number : 303-658-9807
Fax Number : 303-658-9808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 03/26/2024

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