Provider Demographics
NPI:1538966452
Name:VOGT, ALIZABETH ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:ALIZABETH
Middle Name:ANN
Last Name:VOGT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 ALTA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4307
Mailing Address - Country:US
Mailing Address - Phone:806-341-4079
Mailing Address - Fax:
Practice Address - Street 1:1303 ALTA VISTA ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4307
Practice Address - Country:US
Practice Address - Phone:806-341-4079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1524978363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner