Provider Demographics
NPI:1801859590
Name:BLEDSOE, ELIZABETH ANN (NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:BLEDSOE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2818 STATE ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12529-5941
Mailing Address - Country:US
Mailing Address - Phone:518-325-2273
Mailing Address - Fax:518-325-2275
Practice Address - Street 1:2818 STATE ROUTE 23
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NY
Practice Address - Zip Code:12529-5941
Practice Address - Country:US
Practice Address - Phone:518-325-2273
Practice Address - Fax:518-325-2275
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2011-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF304325-1363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care