Provider Demographics
NPI:1346210069
Name:PARTIN, ELIZABETH (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PARTIN
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1720
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-6720
Mailing Address - Country:US
Mailing Address - Phone:270-384-3939
Mailing Address - Fax:270-384-3940
Practice Address - Street 1:363 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1270
Practice Address - Country:US
Practice Address - Phone:270-384-3939
Practice Address - Fax:270-384-3940
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3001579363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78000155Medicaid
KYR36877Medicare UPIN
KY0247972Medicare ID - Type Unspecified