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NPI Code Detail

MEDICARE: ELIZABETH DOLL APRN

MEDICARE:   ELIZABETH  DOLL  APRN
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 Practitioner0024196793VA

General Provider Information

NPI Number : 1861340762
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH DOLL APRN
Provider Business Mailing Address
First Line : 2013 JEFFERSON ST SW
Second Line :
City : ROANOKE
State : VA
Zip : 24014-2419
Country : US
Telephone Number : 540-982-0237
Fax Number :
Provider Business Practice Location Address
First Line : 2013 JEFFERSON ST SW
Second Line :
City : ROANOKE
State : VA
Zip : 24014-2419
Country : US
Telephone Number : 540-982-0237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ ELIZABETH DOLL APRN” Practice Location

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