Doctor Name: | ELIZABETH ANN MYERS |
NPI Number: | 1013308808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110-004867 |
Business Practice Address: | 2826 Old Lee Hwy Suite #330 Fairfax, VA - 220314323 |
Business Phone Number: | 7035448971 |
Business Fax Number: | |
Mailing Address: | 2826 Old Lee Hwy, Suite #330 FAIRFAX |
State: | VA |
Postal Code: | 220314323 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/15/2015 |
NPI Last Update Date: | 02/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0110-004867 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |