| Doctor Name: | AVA C MCELWEE |
| NPI Number: | 1093822496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRNC |
| License Number: | APO3489 |
| Business Practice Address: | 2300 Hospital Dr Suite 140 Bossier City, LA - 711112394 |
| Business Phone Number: | 3187464842 |
| Business Fax Number: | 3187462326 |
| Mailing Address: | 2300 Hospital Dr, Suite 140 BOSSIER CITY |
| State: | LA |
| Postal Code: | 711112394 |
| Phone Number: | 3187464842 |
| Fax Number: | 3187462326 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | APO3489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |