Muchmore, Elizabeth Outlaw

Muchmore, Elizabeth Outlaw is an individual health care provider with primary practice located at 204 Southpark Cir E , St Augustine FL 32086-5135. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Muchmore, Elizabeth Outlaw can be contacted via phone (904) 829-8300.

Contact Information

Primary practice address
204 Southpark Cir E St Augustine FL 32086-5135
Phone: (904) 829-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115135 Florida

Profile Details

NPI number 1306228952
LBN Legal business name Muchmore, Elizabeth Outlaw
Credentials PA-C, MMS, MS, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Jul 1st, 2024 - about 2 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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