Elizabeth C Berry, PA-C
Physician Assistant in Portland, ME. Individual provider (NPI-1).
NPI number1124433016
StatusActive
Last updated in NPPESApr 26, 2017
Details
- NPI
- 1124433016
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth C Berry
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2014
- Last updated
- Apr 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA1461 | ME | Yes |
Other names
- Elizabeth Walsh (Former Name)
Practice location
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-2934
Mailing address
190 Riverside StSuite 6b
Portland, ME 04103-1073
Phone 207-661-2000
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All 238 Physician Assistant providers in Portland · All 7,184 providers in Portland
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