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NPI Code Detail

MEDICARE: MRS. ELIZABETH E SISK MSN, FNP-BC

MEDICARE: MRS. ELIZABETH E SISK MSN, 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
1390200000XStudent in an Organized Health Care Education/Training ProgramVA

General Provider Information

NPI Number : 1932025830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH E SISK MSN, FNP-BC
Provider Business Mailing Address
First Line : 1010 MCNULTY RD
Second Line :
City : RAVEN
State : VA
Zip : 24639-9513
Country : US
Telephone Number : 276-971-7539
Fax Number :
Provider Business Practice Location Address
First Line : 128 GLENWOOD ST
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-9440
Country : US
Telephone Number : 276-596-9181
Fax Number : 888-271-9110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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