Provider Demographics
NPI:1154118917
Name:PAVLESICH, ELIZABETH (DNP, RN)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:PAVLESICH
Suffix:
Gender:
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 N ARGONNE RD STE 1021050N
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-6011
Mailing Address - Country:US
Mailing Address - Phone:509-209-8993
Mailing Address - Fax:509-919-4877
Practice Address - Street 1:1050 N ARGONNE RD STE 102
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-6011
Practice Address - Country:US
Practice Address - Phone:509-209-8993
Practice Address - Fax:509-919-4877
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61399617163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health