Provider Demographics
NPI:1396404851
Name:CATE-FREEMAN, ELISABETH R (CRNP)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:R
Last Name:CATE-FREEMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 POPLAR CHURCH RD STE 503
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2200
Mailing Address - Country:US
Mailing Address - Phone:717-972-4215
Mailing Address - Fax:717-972-4216
Practice Address - Street 1:890 POPLAR CHURCH RD STE 503
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2200
Practice Address - Country:US
Practice Address - Phone:717-972-4215
Practice Address - Fax:717-972-4216
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily