Individual provider · Type 1 NPI

Elisabeth Anne Boettke, NP

Family Nurse Practitioner · Herndon, VA

NPI number 1285587378 Active

Practice location

381 Elden St Ste 1000
Herndon, VA 20170-4842

Mailing address

14622 Croatan Dr
Centreville, VA 20120-2981

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024196642 (VA)
Registered Nurse 163W00000X0001268093 (VA)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

Other family nurse practitioner providers in Herndon

See all in Herndon →

About NPI 1285587378

Elisabeth Anne Boettke, NP's National Provider Identifier is 1285587378, issued on Feb 18, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Herndon, VA. The record was last updated on Mar 23, 2026.