Doctor Name: | MRS. MARIE LEILANE MCELWEE |
NPI Number: | 1013951102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | |
Business Practice Address: | 204 Old Brickyard Rd North Wilkesboro, NC - 286598971 |
Business Phone Number: | 3366672020 |
Business Fax Number: | 3366675357 |
Mailing Address: | 245 Partridge Ln, WILKESBORO |
State: | NC |
Postal Code: | 286978576 |
Phone Number: | 3368384510 |
Fax Number: | 3366675357 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |