Midyette, Elizabeth Abagail
Midyette, Elizabeth Abagail is an individual health care provider with primary practice located at 3917 West Rd Ste A , Los Alamos NM 87544-2292. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Midyette, Elizabeth Abagail can be contacted via phone (505) 661-8900.Contact Information
Primary practice address
3917 West Rd Ste A
Los Alamos NM 87544-2292
Phone: (505) 661-8900
Fax: (505) 661-8916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 324685 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2023-0235 | New Mexico |
Profile Details
| NPI number | 1427605682 |
|---|---|
| LBN Legal business name | Midyette, Elizabeth Abagail |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2019 |
| Last updated | Aug 9th, 2023 - about 3 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 | 1427605682 | NPPES |
| New Mexico | Other | PA2023-0235 | NM MEDICAL BOARD |
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