Provider Demographics
NPI:1376200667
Name:MESSINGER, ELIZABETH N (AM)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:N
Last Name:MESSINGER
Suffix:
Gender:F
Credentials:AM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 SHELLEY LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-1445
Mailing Address - Country:US
Mailing Address - Phone:509-295-3691
Mailing Address - Fax:
Practice Address - Street 1:2405 SHELLEY LN
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-1445
Practice Address - Country:US
Practice Address - Phone:509-295-3691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-21
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty