ELIZABETH DALE ANP-BC NPI 1386912632

NPI Information

NPI: 1386912632
Provider Name: ELIZABETH DALE, ANP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 661-7089
Get Directions

Elizabeth Dale, ANP-BC is an adult health nurse practitioner in West Bloomfield, MI. Elizabeth Dale, ANP-BC NPI is 1386912632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322-013
Phone: (248) 661-7089
Fax: (248) 661-7390

The NPI 1386912632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 12/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	4704120400	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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