Doctor Name: | MS. ELIZABETH L. ENRIQUEZ |
NPI Number: | 1669723698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 26NR05000600 |
Business Practice Address: | 24 Lindy Pl Old Tappan, NJ - 076756907 |
Business Phone Number: | 9143848478 |
Business Fax Number: | |
Mailing Address: | 24 Lindy Pl, OLD TAPPAN |
State: | NJ |
Postal Code: | 076756907 |
Phone Number: | 9143848478 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | 26NR05000600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |