| Doctor Name: | MS. NAOMI E ELCOCK |
| NPI Number: | 1053619346 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R075339 |
| Business Practice Address: | 6645 23rd Ave Hyattsville, MD - 207821703 |
| Business Phone Number: | 3016130110 |
| Business Fax Number: | 4105230202 |
| Mailing Address: | 6645 23rd Ave, HYATTSVILLE |
| State: | MD |
| Postal Code: | 207821703 |
| Phone Number: | 3016130110 |
| Fax Number: | 4105230202 |
| NPI Enumeration Date: | 03/10/2011 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | R075339 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |