Elizabeth Lee Horwath, MSN, RN, AGACNP, FNP

Individual provider Active NPI Family Nurse Practitioner · Woodruff, WI

NPI 1053965822 · NPPES record last updated Jul 30, 2019

Key facts

NPI
1053965822
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
9149-33 (WI)
Practice address
240 Maple St
Woodruff, WI 54568-9190
Phone
(715) 356-8140
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9149-33WIMDAcute Care Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9149-33 WI
Family Nurse Practitioner 363LF0000X 9149-33 WI Yes

Addresses

Primary practice location

240 Maple St
Woodruff, WI 54568-9190

Mailing address

PO Box 4
Conover, WI 54519-0004
Phone (715) 617-5255

Other practice location 1

201 Hospital Rd
Eagle River, WI 54521-8835
Phone (715) 479-0255

Other providers in Woodruff, WI

All providers in Woodruff, WI · Family Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.