Provider Demographics
NPI:1891484143
Name:ENE, ELIZABETH (RN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ENE
Suffix:
Gender:F
Credentials:RN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N MILLER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-9106
Mailing Address - Country:US
Mailing Address - Phone:817-473-7172
Mailing Address - Fax:817-473-7574
Practice Address - Street 1:120 N MILLER RD STE 100
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9106
Practice Address - Country:US
Practice Address - Phone:817-473-7172
Practice Address - Fax:817-473-7574
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily