Elizabeth Hirsch

Individual provider Active NPI Community Health Worker · Wabasso, MN

NPI 1700290293 · NPPES record last updated Jun 12, 2014

Key facts

NPI
1700290293
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1172 Dewey St Apt 5
Wabasso, MN 56293-9671
Phone
(507) 342-5456
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1172 Dewey St Apt 5
Wabasso, MN 56293-9671

Mailing address

1172 Dewey St Apt 5
Wabasso, MN 56293-9671
Phone (507) 342-5456

Other providers in Wabasso, MN

All providers in Wabasso, MN · Community Health Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.