Provider Demographics
NPI:1154810422
Name:SLOAN, ELIZABETH J (CRNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:SLOAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 GOVERNORS DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2745
Mailing Address - Country:US
Mailing Address - Phone:256-517-8317
Mailing Address - Fax:256-964-8980
Practice Address - Street 1:202 GOVERNORS DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-2745
Practice Address - Country:US
Practice Address - Phone:256-517-8317
Practice Address - Fax:256-964-8980
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-081770363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care