Provider Demographics
NPI:1710591763
Name:LANTRY, ELIZABETH (DNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:LANTRY
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:HUERTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4225 HOYT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2351
Mailing Address - Country:US
Mailing Address - Phone:425-259-3122
Mailing Address - Fax:425-252-9860
Practice Address - Street 1:4225 HOYT AVE STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2351
Practice Address - Country:US
Practice Address - Phone:425-259-3122
Practice Address - Fax:425-252-9860
Is Sole Proprietor?:No
Enumeration Date:2020-09-06
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61464769363L00000X, 363LF0000X
WARN60617786163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily