ELIZABETH FAY WASYLOW (NPI# 1417580705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417580705 |
| Entity Type | Individual |
| Full Name | ELIZABETH FAY WASYLOW |
| Practice Address |
1022 County Road 28 Scottsboro AL 35768-6458 |
| Practice Telephone | 2566098023 |
| Mailing Telephone | 2566098023 |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-081299 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANCC | 2019056163 | 01 | |
| AL | NURSING LICENSE | 1-081299 | 01 |
| Street Address |
1022 COUNTY ROAD 28 |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35768-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787510 | Advanced Physical Therapy, LLC | Physical Therapist | 24500 John T Reid Pkwy, Scottsboro, AL 35768 | 2020-07-07 |
| 1083955173 | Premier Medical Clinic LLC | Clinic/Center | 503 Burlington Street, Scottsboro, AL 35768 | 2013-03-14 |
| 1285811463 | Edward Wesley Knowles Md PC | Surgery | 911 South Broad St, Scottsboro, AL 35768 | 2008-01-30 |
| 1669664439 | Leslie A Barrilleaux | Dentist | 412 E Willow St, Scottsboro, AL 35768 | 2007-08-15 |
| 1811049117 | Dawson Staley Colvert | Dentist | 313 Parks Avenue, Scottsboro, AL 35768 | 2007-01-17 |
| 1255483806 | Grady Mack Goss | Dentist | 313 Parks Ave, Scottsboro, AL 35768 | 2007-01-16 |
| 1215088026 | Mandi Michelle Allen-bell | Family Medicine | 405 Taylor Street, Suite A, Scottsboro, AL 35768 | 2007-01-16 |
| 1376617571 | David Pierce Chiropractic Inc | Chiropractor | 624 East Willow St, Scottsboro, AL 35768 | 2006-11-20 |
| 1588733299 | Valley Dental Implant Center LLC | Dentist | 921 South Broad St, Scottsboro, AL 35768 | 2006-11-07 |
| 1558465815 | Mark A Reece | Dentist | 416 E Laurel, Scottsboro, AL 35768 | 2006-09-08 |
| Find all providers in zip 35768 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184054603 | Jennifer Simmons | Nurse Practitioner | 304 Parks Ave, Scottsboro, AL 35768-2412 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 1083257315 | Amanda Hanson | Nurse Practitioner | 2938 Highway 18 W, Fayette, AL 35555-6007 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBORO |
| Zip Code | 35768 |
Please comment or provide details below to improve the information on ELIZABETH FAY WASYLOW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.