Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F07170705 | VA |
NPI | 1013429620 |
---|---|
Provider Name | Elizabeth Philpott |
First Address | Harrisonburg, VA 22801-3753 |
Second Address | Harrisonburg, VA 22801-3753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2017 |
Last Update Date | 05/11/2017 |