Provider Demographics
NPI:1396222063
Name:FRENCH, ELIZABETH R (ARNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:R
Last Name:FRENCH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14001 STRINGFELLOW RD
Mailing Address - Street 2:
Mailing Address - City:BOKEELIA
Mailing Address - State:FL
Mailing Address - Zip Code:33922-2016
Mailing Address - Country:US
Mailing Address - Phone:239-209-2309
Mailing Address - Fax:
Practice Address - Street 1:14001 STRINGFELLOW RD
Practice Address - Street 2:
Practice Address - City:BOKEELIA
Practice Address - State:FL
Practice Address - Zip Code:33922-2016
Practice Address - Country:US
Practice Address - Phone:239-209-2309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9324625363L00000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology