Dimitry, Elizabeth

Dimitry, Elizabeth is an individual health care provider with primary practice located at 1545 Tulane Ave , New Orleans LA 70112-2821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dimitry, Elizabeth can be contacted via phone (504) 903-1301.

Contact Information

Primary practice address
1545 Tulane Ave New Orleans LA 70112-2821
Phone: (504) 903-1301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN090596 Louisiana

Profile Details

NPI number 1346462769
LBN Legal business name Dimitry, Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 9th, 2007 - about 19 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 1346462769 NPPES
Louisiana Other RN090596 STATE LICENSE NUMBER
Louisiana MEDICAID 14366241 STATE LICENSE NUMBER

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