Elizabeth P Dykstra
MD | Pediatrics | Female
Elizabeth P Dykstra, MD is a Brentwood, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics. Elizabeth P Dykstra is also known as
Elizabeth D Ponder.
Current practice location of Elizabeth P Dykstra is
1622 Westgate Cir, Brentwood, Tennessee - 37027-8019. She can be contacted on phone at
629-255-2095 and fax number 629-255-4107.
Elizabeth P Dykstra is a sole proprietor of her business.
NPI number (Unique professional ID) for Elizabeth P Dykstra is
1659365518 which was assigned by NPPES on 07 Sep, 2005 and it was last updated on 21 Feb, 2019.
Elizabeth P Dykstra license number is
35225 for Pediatrics (208000000X) in Tennessee.
Elizabeth P Dykstra is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Elizabeth P Dykstra basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Elizabeth P Dykstra |
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| Other Name : | Elizabeth D Ponder |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elizabeth P Dykstra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1622 Westgate Cir
Brentwood, TN, 37027-8019
United States |
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| Phone Number : | 629-255-2095 |
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| Fax Number : | 629-255-4107 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659365518 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Sep, 2005 |
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| Last Updated On : | 21 Feb, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth P Dykstra are as mentioned. Primary taxonomy code for Elizabeth P Dykstra, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35225 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Elizabeth P Dykstra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1502891 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 222 22nd Ave N
Nashville, TN, 37203-1852
United States |
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| Phone Number : | 629-255-3486 |
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Business Location:
Patients can refer following map for directions to
Elizabeth P Dykstra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.