Provider Demographics
NPI:1962983171
Name:LOVETT, ELIZABETH SLOAN (CRNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SLOAN
Last Name:LOVETT
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 1:5367 HOLLEY LN
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-3675
Mailing Address - Country:US
Mailing Address - Phone:251-609-1539
Mailing Address - Fax:
Practice Address - Street 1:25775 PERDIDO BEACH BLVD STE E
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-6603
Practice Address - Country:US
Practice Address - Phone:251-974-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-143490363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner