Provider Demographics
NPI:1740808724
Name:FINK, ELIZABETH PAIGE (APRN)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:PAIGE
Last Name:FINK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 W OAK ST STE 303
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4992
Mailing Address - Country:US
Mailing Address - Phone:727-772-4629
Mailing Address - Fax:
Practice Address - Street 1:720 W OAK ST STE 303
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4992
Practice Address - Country:US
Practice Address - Phone:727-772-4629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11007096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily