MS. ELIZABETH ANNE VAN DERMARK CRNP-A WH NPI 1497888226

NPI Information

NPI: 1497888226
Provider Name: MS. ELIZABETH ANNE VAN DERMARK, CRNP-A, WH
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: CENTER FOR PAIN MANAGEMENT, LLC

PECOS Registration: Yes

Address:
75 THOMAS JOHNSON DR
SUITE C
FREDERICK, MD
ZIP 21702
Phone: (301) 620-0012
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MS. Elizabeth Anne Van Dermark, CRNP-A, WH is an adult health nurse practitioner in Frederick, MD with 26 years of experience. MS. Elizabeth Anne Van Dermark, CRNP-A, WH NPI is 1497888226. 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:

75 THOMAS JOHNSON DR
SUITE C
FREDERICK, MD
ZIP 21702-895
Phone: (301) 620-0012
Fax: (301) 620-9687

The NPI 1497888226 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 3/13/2007 and was last updated on 3/7/2022.

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	363LW0102X	Nurse Practitioner	Women's Health	R086553	MARYLAND	No
2	363LA2200X	Nurse Practitioner	Adult Health	R086553	MARYLAND	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: 11/14/2023

NPI Synchronization or Removal

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