Provider Demographics
NPI:1740625706
Name:SCHIMMER, ELIZABETH BURCH (MS RN WHNP-BC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BURCH
Last Name:SCHIMMER
Suffix:
Gender:F
Credentials:MS RN WHNP-BC
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Mailing Address - Street 1:772 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-5622
Mailing Address - Country:US
Mailing Address - Phone:631-957-5711
Mailing Address - Fax:
Practice Address - Street 1:180 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-2012
Practice Address - Country:US
Practice Address - Phone:631-893-0150
Practice Address - Fax:631-893-0146
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-05
Last Update Date:2017-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY5270531163WM0102X
NYF4211221363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn