Doctor Name: | PATRICIA L MCELROY |
NPI Number: | 1063414662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 71000662A |
Business Practice Address: | 808 N Samuel Moore Pkwy Mooresville, IN - 461581467 |
Business Phone Number: | 3178312734 |
Business Fax Number: | |
Mailing Address: | Po Box 1557, MARTINSVILLE |
State: | IN |
Postal Code: | 461510557 |
Phone Number: | 7653494600 |
Fax Number: | 7653496590 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 71000662A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |