Provider Demographics
NPI:1043983083
Name:HITZ, ELIZABETH LYNN (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:LYNN
Last Name:HITZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:LIZ
Other - Middle Name:LYNN
Other - Last Name:HITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:3 PLAINVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17320-8593
Mailing Address - Country:US
Mailing Address - Phone:717-873-3022
Mailing Address - Fax:
Practice Address - Street 1:4813 JONESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1748
Practice Address - Country:US
Practice Address - Phone:717-715-8705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily