Provider Demographics
NPI:1184498271
Name:FLANAGAN, ELIZABETH (HEALTH COACH NBHWC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:HEALTH COACH NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 S GLENOAKS BLVD # 336
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4250 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND HILLS
Practice Address - State:OH
Practice Address - Zip Code:44122-6104
Practice Address - Country:US
Practice Address - Phone:415-320-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach