Search › Georgia › 363LF0000X
Elisabeth Proenza, FNP-C
NPI 1619591120 · on the registry since 2020
Practice
- Address
- 210 Mose Coleman Dr
Vidalia, GA 30474 - Phone
- (912) 308-6484
- Organisation at this address
- Misty D. Poole, Md, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia