Provider Demographics
NPI:1649565003
Name:ARMSTRONG, ELIZABETH VEST (FNP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:VEST
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1727
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-0435
Mailing Address - Country:US
Mailing Address - Phone:540-387-9222
Mailing Address - Fax:540-387-4472
Practice Address - Street 1:1308 W MAIN ST
Practice Address - Street 2:LONG TERM CARE MEDICAL ASSOCIATES
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4708
Practice Address - Country:US
Practice Address - Phone:540-387-9222
Practice Address - Fax:540-387-4472
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1649565003Medicaid
VA1649565003Medicaid
VAVV2921CMedicare PIN