Doctor Name: | ELIZABETH ANN ANKENY |
NPI Number: | 1154345759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | R164260-3 |
Business Practice Address: | 10 4th Ave Se Glenwood, MN - 563341820 |
Business Phone Number: | 3206344521 |
Business Fax Number: | 3206342262 |
Mailing Address: | 10 4th Ave Se, GLENWOOD |
State: | MN |
Postal Code: | 563341820 |
Phone Number: | 3206344521 |
Fax Number: | 3206342262 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R164260-3 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |