Provider Demographics
NPI:1477047769
Name:ALBERS, ELIZABETH CAVANAH (DNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CAVANAH
Last Name:ALBERS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 RIVERHILL DR
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:GA
Mailing Address - Zip Code:30621-6151
Mailing Address - Country:US
Mailing Address - Phone:404-932-3851
Mailing Address - Fax:
Practice Address - Street 1:1725 ELECTRIC AVE STE 100D
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-2608
Practice Address - Country:US
Practice Address - Phone:065-186-9867
Practice Address - Fax:855-576-4188
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN234544363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily