Provider Demographics
NPI:1609132869
Name:POINTER, ELIZABETH SUZANNE (NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SUZANNE
Last Name:POINTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:SUZANNE
Other - Last Name:SHRADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:104 HIDDEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8949
Mailing Address - Country:US
Mailing Address - Phone:919-593-2073
Mailing Address - Fax:
Practice Address - Street 1:7718 SYLVAN RD
Practice Address - Street 2:
Practice Address - City:SNOW CAMP
Practice Address - State:NC
Practice Address - Zip Code:27349-9504
Practice Address - Country:US
Practice Address - Phone:336-506-0631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005581363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily