Provider Demographics
NPI:1780199703
Name:MAGRIBY, ELIZABETH DASHA (DNP, FNP)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DASHA
Last Name:MAGRIBY
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 NORTH CT
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-4724
Mailing Address - Country:US
Mailing Address - Phone:401-222-0463
Mailing Address - Fax:
Practice Address - Street 1:106 NORTH CT
Practice Address - Street 2:
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878-4724
Practice Address - Country:US
Practice Address - Phone:401-222-0463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN1727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIAPRN01727OtherSTATE OF RI &PROVIDENCE PLANTATIONS DEPARTMENT IF HEALTH