Provider Demographics
NPI:1609165372
Name:REIFSNIDER, ELIZABETH A (WHNP, PHD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:REIFSNIDER
Suffix:
Gender:F
Credentials:WHNP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N 3RD ST
Mailing Address - Street 2:COLLEGE OF NURSING AND HEALTH INNOVATION
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-2135
Mailing Address - Country:US
Mailing Address - Phone:602-496-1394
Mailing Address - Fax:602-496-1953
Practice Address - Street 1:500 N 3RD ST
Practice Address - Street 2:COLLEGE OF NURSING AND HEALTH INNOVATION
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-2135
Practice Address - Country:US
Practice Address - Phone:602-496-1394
Practice Address - Fax:602-496-1953
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4211363LW0102X
AZAP4225364SC1501X
AZRN169571163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health