Provider Demographics
NPI:1154709699
Name:CRONIER, ELIZABETH YOUGENE (NP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:YOUGENE
Last Name:CRONIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:BETTY
Other - Middle Name:JOHNSON
Other - Last Name:CRONIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:105 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4103
Mailing Address - Country:US
Mailing Address - Phone:334-391-1233
Mailing Address - Fax:
Practice Address - Street 1:4135 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-3022
Practice Address - Country:US
Practice Address - Phone:334-271-4503
Practice Address - Fax:334-356-9926
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-084308363L00000X, 363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care