Doctor Name: | ELZONA LIVINGSTON |
NPI Number: | 1063843340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NR12203000 |
Business Practice Address: | 85 Mt. Mitchell Place Cameron, NC - 28326 |
Business Phone Number: | 9109076665 |
Business Fax Number: | |
Mailing Address: | 85 Mt. Mitchell Place, CAMERON |
State: | NC |
Postal Code: | 28326 |
Phone Number: | 9109076665 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2013 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 26NR12203000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |