Andersen, Elizabeth Persephone

Andersen, Elizabeth Persephone is an individual health care provider with primary practice located at 7813 Spivey Station Blvd Ste 210 , Lake Spivey GA 30236-2900. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Andersen, Elizabeth Persephone can be contacted via phone (770) 507-0070.

Contact Information

Primary practice address
7813 Spivey Station Blvd Ste 210 Lake Spivey GA 30236-2900
Phone: (770) 507-0070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN228808 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2018080794 Georgia

Profile Details

NPI number 1457818015
LBN Legal business name Andersen, Elizabeth Persephone
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2019
Last updated Sep 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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