Provider Demographics
NPI:1295194967
Name:ANDRUS, ELIZABETH COUCH (FNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:COUCH
Last Name:ANDRUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MELVILLE GLEN PL
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4800
Mailing Address - Country:US
Mailing Address - Phone:832-928-7854
Mailing Address - Fax:281-537-0315
Practice Address - Street 1:2255 E MOSSY OAKS RD STE 680
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389
Practice Address - Country:US
Practice Address - Phone:281-537-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130199363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner