Ellis-Kempner, Elizabeth A
Ellis-Kempner, Elizabeth A is an individual health care provider with primary practice located at 790 College Pkwy , Colchester VT 05446-3007. 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. Ellis-Kempner, Elizabeth A can be contacted via phone (802) 847-1170.Contact Information
Primary practice address
790 College Pkwy
Colchester VT 05446-3007
Phone: (802) 847-1170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0260016161 | Vermont |
Profile Details
| NPI number | 1427118173 |
|---|---|
| LBN Legal business name | Ellis-Kempner, Elizabeth A |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Nov 11th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427118173 | NPPES |
| Other | 69710 | BLUE CROSS BLUE SHIELD | |
| Other | 6003980 | BLUE CROSS BLUE SHIELD | |
| Other | 0016161 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 1013265 | BLUE CROSS BLUE SHIELD |
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