Provider Demographics
NPI:1558473132
Name:MACPHERSON, ELIZABETH MARIE (NP APRN BC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:NP APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 PERRY RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-7701
Mailing Address - Country:US
Mailing Address - Phone:919-791-0840
Mailing Address - Fax:919-791-0911
Practice Address - Street 1:5603 DURALEIGH RD
Practice Address - Street 2:SUITE111
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2688
Practice Address - Country:US
Practice Address - Phone:919-791-0840
Practice Address - Fax:919-791-0840
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008584363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5008584OtherNURSE PRACTITIONER
NC285037OtherLICENSE - REGISTERED NURSE
100129OtherFALLON
NP5296OtherBCBS
NC5008584OtherNURSE PRACTITIONER
NP5296Medicare UPIN