Provider Demographics
NPI:1336538834
Name:AZEVEDO-FLOWERS, ELIZABETH
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:AZEVEDO-FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 NYE AVE
Mailing Address - Street 2:SUITE 4C
Mailing Address - City:ACUSHNET
Mailing Address - State:MA
Mailing Address - Zip Code:02743-2750
Mailing Address - Country:US
Mailing Address - Phone:508-441-7999
Mailing Address - Fax:
Practice Address - Street 1:32 NYE AVE
Practice Address - Street 2:SUITE 4C
Practice Address - City:ACUSHNET
Practice Address - State:MA
Practice Address - Zip Code:02743-2750
Practice Address - Country:US
Practice Address - Phone:508-441-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator