person
Elizabeth Edacheril Poulose
Primary Care Nurse Practitioner in Burlington, North Carolina
NPI 1205304409

Elizabeth Edacheril Poulose is a Primary Care Nurse Practitioner based in Burlington, NC and is specialized in Primary Care. Elizabeth Edacheril Poulose practices in Burlington, NC. The NPI Number for Elizabeth Edacheril Poulose is 1205304409 and holds a License No. 5011182 (North Carolina).

The current practice location address for Elizabeth Edacheril Poulose is 1041 Kirkpatrick Rd Ste 100, Burlington, NC and can be reached out via phone at 336-538-0565. You can also correspond with Elizabeth Edacheril Poulose through the mailing address at 1041 KIRKPATRICK RD STE 100, BURLINGTON, NC - 27215-8066 (mailing address contact number: 336-538-0565).

Location: 1041 Kirkpatrick Rd Ste 100, Burlington, NC, 27215-8066
person
Provider Profile Details
NPI Number
1205304409
Provider Name
Elizabeth Edacheril Poulose
Credential
Provider Entity Type
Individual
Gender
Female
Address
1041 Kirkpatrick Rd Ste 100, Burlington, NC, 27215-8066
Phone Number
336-538-0565
Fax Number
Provider Enumeration Date
11/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5011182 01 NC NURSE PRACTITIONER APPROVAL TO PRACTICE
institution
Provider Business Practice Location Address Details
Address
1041 Kirkpatrick Rd Ste 100
City
State
Zip
27215-8066
Phone Number
336-538-0565
Fax Number
person
Provider Business Mailing Address Details
Address
1041 Kirkpatrick Rd Ste 100
City
State
Zip
27215-8066
Phone Number
336-538-0565
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
5011182 (North Carolina)
Definition
Definition to come...
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