Provider Demographics
NPI:1316659923
Name:JAMES, ELIZABETH ELLEN (MSN, RN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ELLEN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ELLEN
Other - Last Name:LORING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:240 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-3144
Mailing Address - Country:US
Mailing Address - Phone:402-651-2402
Mailing Address - Fax:
Practice Address - Street 1:520 N 7TH ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-0709
Practice Address - Country:US
Practice Address - Phone:712-322-3700
Practice Address - Fax:712-256-8780
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA138450163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse