Provider Demographics
NPI:1851609119
Name:BATZ, ELIZABETH MARY (NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARY
Last Name:BATZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 SHEBOYGAN AVE
Mailing Address - Street 2:APT 314
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2968
Mailing Address - Country:US
Mailing Address - Phone:608-219-5248
Mailing Address - Fax:
Practice Address - Street 1:4829 SHEBOYGAN AVE
Practice Address - Street 2:APT 314
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2968
Practice Address - Country:US
Practice Address - Phone:608-219-5248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1331-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner