Provider Demographics
NPI:1477570240
Name:TODD, ELIZABETH CATHERINE (ARNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CATHERINE
Last Name:TODD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:CATHERINE
Other - Last Name:SENSENIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DHMC CLINIC 5 L OB-GYN
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-653-9240
Mailing Address - Fax:603-653-3838
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC CLINIC 5 L OB-GYN
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-653-9240
Practice Address - Fax:603-653-3838
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH045786-23-05363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30340439Medicaid
VT0NP1935Medicaid
VT0NP1935Medicaid
NH30340439Medicaid