Provider Demographics
NPI:1871894691
Name:DAY, ELIZABETH SPERRY (RN)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SPERRY
Last Name:DAY
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 1:201 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4518
Mailing Address - Country:US
Mailing Address - Phone:703-536-1582
Mailing Address - Fax:703-536-1346
Practice Address - Street 1:201 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4518
Practice Address - Country:US
Practice Address - Phone:703-536-1582
Practice Address - Fax:703-536-1346
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001059474163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001059474OtherRN LICENSE
VA00039582OtherCCM