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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ELIZABETH PERSEPHONE ANDERSEN, FNP-BC

Active

MS. ELIZABETH PERSEPHONE ANDERSEN, FNP-BC is a Family Nurse Practitioner healthcare provider located in LAKE SPIVEY, Georgia. NPI 1457818015 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LAKE SPIVEY, GA

Registration Details

NPI Number
1457818015
Provider Type
Individual
Gender
Female
NPI Issued
Mar 1, 2019 (7.4192378438575 yrs)
Last Updated
Sep 18, 2020
Licenses
RN228808 (GA)
2018080794 (GA)

Practice Information

Address
7813 SPIVEY STATION BLVD STE 210
LAKE SPIVEY, GA, 302362900
Browse GA providers · Browse ZIP 30236
Phone
7705070070
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.