1477167971 NPI number — MISS ELIZABETH JOY CHOUDHARY CNM

Table of content: MISS ELIZABETH JOY CHOUDHARY CNM (NPI 1477167971)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477167971 NPI number — MISS ELIZABETH JOY CHOUDHARY CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHOUDHARY
Provider First Name:
ELIZABETH
Provider Middle Name:
JOY
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COOK
Provider Other First Name:
ELIZABETH
Provider Other Middle Name:
JOY
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CNM
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1477167971
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2580 HAYMAKER RD STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15146-3500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-856-7500
Provider Business Mailing Address Fax Number:
412-856-6079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2580 HAYMAKER RD STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-3500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-856-7500
Provider Business Practice Location Address Fax Number:
412-856-6079
Provider Enumeration Date:
09/02/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X , with the licence number:  MW010593 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367A00000X , with the licence number: MW010593 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)