| Doctor Name: | MRS. ELIZABETH A. MORIARTY |
| NPI Number: | 1578899795 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 280805 |
| Business Practice Address: | 245 Vineyard Haven Rd Island Health Care, Inc. Edgartown, MA - 025399000 |
| Business Phone Number: | 5089390717 |
| Business Fax Number: | 5089398644 |
| Mailing Address: | Po Box 9000, Island Health Care, Inc. EDGARTOWN |
| State: | MA |
| Postal Code: | 025399000 |
| Phone Number: | 5089390717 |
| Fax Number: | 5089398644 |
| NPI Enumeration Date: | 10/22/2009 |
| NPI Last Update Date: | 09/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 280805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |