Most Relevant Information
Provider Data
| NPI Number: | 1003520305 |
| Provider Name: | ELIZABETH ANN SHORT |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/11/2023 |
| Last Updated: | 01/11/2023 |
Provider Practice Location
235 S WATER ST
MARTINSBURG
WV
254014241
Practice Location Phone/Fax
| Phone: | 3042638954 |
| Fax: |
Provider Mailing Location
235 S WATER ST
MARTINSBURG
WV
254014241
Provider Mailing Phone/Fax
| Phone: | 3042638954 |
| Fax: |