Forman Serdar, Elizabeth

Forman Serdar, Elizabeth is an individual health care provider with primary practice located at 200 Lilly Rd Ne Ste C , Olympia WA 98506-5080. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Forman Serdar, Elizabeth can be contacted via phone (360) 918-8336.

Contact Information

Primary practice address
200 Lilly Rd Ne Ste C Olympia WA 98506-5080
Phone: (360) 918-8336
Fax: (360) 972-2152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60301000 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 60301000 Washington

Profile Details

NPI number 1629325204
LBN Legal business name Forman Serdar, Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Dec 21st, 2022 - about 4 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 1629325204 NPPES
Washington MEDICAID 2025519
Washington Other 304788

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