Provider Demographics
NPI:1851556971
Name:CARRINGTON, ELIZABETH MARIE (FNP-RN)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:FNP-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7646 RICHLAND WOODS CT
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-9796
Mailing Address - Country:US
Mailing Address - Phone:269-629-9080
Mailing Address - Fax:
Practice Address - Street 1:11611 PINE LAKE RD
Practice Address - Street 2:
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-9225
Practice Address - Country:US
Practice Address - Phone:269-664-9208
Practice Address - Fax:269-664-9295
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI470414887163WR0400X
MI4704148897363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation