Provider Demographics
NPI:1982844213
Name:BREEDLOVE, ELIZABETH ANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:BREEDLOVE
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:810 N HILL ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TATUM
Mailing Address - State:TX
Mailing Address - Zip Code:75691-1740
Mailing Address - Country:US
Mailing Address - Phone:903-947-2020
Mailing Address - Fax:903-947-3292
Practice Address - Street 1:810 N HILL ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TATUM
Practice Address - State:TX
Practice Address - Zip Code:75691-1740
Practice Address - Country:US
Practice Address - Phone:903-947-2020
Practice Address - Fax:903-947-3292
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2014-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX691969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily