Provider Demographics
NPI:1942674445
Name:PANCRAZIO, ELIZABETH (MSN, APN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PANCRAZIO
Suffix:
Gender:F
Credentials:MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 ATLANTIC BRIGANTINE BLVD
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-3512
Mailing Address - Country:US
Mailing Address - Phone:609-413-5682
Mailing Address - Fax:
Practice Address - Street 1:660 BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-2360
Practice Address - Country:US
Practice Address - Phone:609-345-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-20
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00583100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health