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NPI Code Detail

MEDICARE: MRS. ELIZABETH DAWN NOLAND FNP-C

MEDICARE: MRS. ELIZABETH DAWN NOLAND FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN-NP217001GA

General Provider Information

NPI Number : 1831692979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH DAWN NOLAND FNP-C
Provider Business Mailing Address
First Line : 6772 SCOTER DR
Second Line :
City : MIDLAND
State : GA
Zip : 31820-3837
Country : US
Telephone Number : 706-887-4435
Fax Number :
Provider Business Practice Location Address
First Line : 6509 GATEWAY RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5681
Country : US
Telephone Number : 706-243-0174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2018
Last Update Date : 10/29/2025

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