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1336752492
ELIZABETH B MICK
ROANOKE, VA
NPI
1336752492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024180057)
Enumeration Date
2020-08-28
Last Update Date
2023-06-02
Business Address
ELIZABETH B MICK FNP
4615 HUNTRIDGE RD
ROANOKE, VA 24012-8510
Phone number: 540-977-0900
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Mailing Address
ELIZABETH B MICK FNP
2000 HEALTH PARK DR FL HP2
BRENTWOOD, TN 37027-4692
Phone number: 615-373-7600
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