National Provider Identifier

Elizabeth Anne Stackhouse, MD

Elizabeth Anne Stackhouse, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-1200.

NPI 1730761305Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1730761305
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 23, 2021
Last Updated
April 23, 2021

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-1200

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1730761305
Entity Type
Individual
Last Name
Stackhouse
First Name
Elizabeth
Middle Name
Anne
Credential
MD
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-1200
Practice Fax
(585) 276-4013
Enumeration Date
April 23, 2021
Last Updated
April 23, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)