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DR. ELIZABETH SUZANNE PIETRALCZYK M.D. NPI 1548466014


NPI Information

NPI: 1548466014
Provider Name: DR. ELIZABETH SUZANNE PIETRALCZYK, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PROVIDENCE HEALTH AND SERVICES WASHINGTON

PECOS Registration: Yes

Address:
307 BOATNER RD STE 114
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-8312
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DR. Elizabeth Suzanne Pietralczyk, M.D. is a family medicine in Eglin Afb, FL with 17 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Elizabeth Suzanne Pietralczyk, M.D. NPI is 1548466014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2007

The provider's business location address is:

307 BOATNER RD STE 114
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-8312

The NPI 1548466014 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 6/22/2007 and was last updated on 10/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine13617NEVADANo
2207Q00000XFamily MedicineNE24952NEBRASKAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.