Doctor Name: | MICHELLE SLUDER ELLIOTT |
NPI Number: | 1003231705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 177778 |
Business Practice Address: | 915 Tate Blvd Se Ste 170 Hickory, NC - 286024042 |
Business Phone Number: | 8283450800 |
Business Fax Number: | 8283450350 |
Mailing Address: | 915 Tate Blvd Se, Ste 170 HICKORY |
State: | NC |
Postal Code: | 286024042 |
Phone Number: | 8283450800 |
Fax Number: | 8283450350 |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 177778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |