Provider Demographics
NPI:1902983125
Name:PROPSON, ELIZABETH M (RN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:PROPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W4676 COUNTY ROAD H
Mailing Address - Street 2:
Mailing Address - City:CHILTON
Mailing Address - State:WI
Mailing Address - Zip Code:53014-9433
Mailing Address - Country:US
Mailing Address - Phone:920-849-9095
Mailing Address - Fax:
Practice Address - Street 1:10200 FRANCIS CREEK RD
Practice Address - Street 2:
Practice Address - City:TWO RIVERS
Practice Address - State:WI
Practice Address - Zip Code:54241-9128
Practice Address - Country:US
Practice Address - Phone:920-686-0752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI84515-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39913300Medicaid