Elizabeth Andujo, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Collierville, TN
NPI 1417718263 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1417718263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 244798 (TN)
- Practice address
- 4549 Park Ridge Pkwy
Collierville, TN 38017-3369 - Phone
- (901) 921-7229
- NPI assigned
- Jan 18, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244798 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 244798 | TN | Yes |
Addresses
Primary practice location
4549 Park Ridge Pkwy
Collierville, TN 38017-3369
Mailing address
4549 Park Ridge Pkwy
Collierville, TN 38017-3369
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All providers in Collierville, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.