Davoren, Elizabeth

Davoren, Elizabeth is an individual health care provider with primary practice located at 3 Prospect St , Vernon CT 06066-3125. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davoren, Elizabeth can be contacted via phone (860) 896-1616.

Contact Information

Primary practice address
3 Prospect St Vernon CT 06066-3125
Phone: (860) 896-1616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002950 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002950 Connecticut

Profile Details

NPI number 1316945611
LBN Legal business name Davoren, Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 5th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316945611 NPPES
Connecticut MEDICAID 004236346

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