Provider Demographics
NPI:1134521792
Name:BOBROWSKI, ELISE HOWORTH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ELISE
Middle Name:HOWORTH
Last Name:BOBROWSKI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 BRANDON DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3273
Mailing Address - Country:US
Mailing Address - Phone:615-419-4589
Mailing Address - Fax:
Practice Address - Street 1:113 HIGHWAY 70 E STE D
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2075
Practice Address - Country:US
Practice Address - Phone:615-441-4503
Practice Address - Fax:615-441-4575
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000019095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily