Doctor Name: | JOAN U ELWARD |
NPI Number: | 1144363797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC |
License Number: | 4704113078 |
Business Practice Address: | 30400 Telegraph Rd Suite 350 Bingham Farms, MI - 480254537 |
Business Phone Number: | 2483539460 |
Business Fax Number: | 2483538084 |
Mailing Address: | 30400 Telegraph Rd, Suite 350 BINGHAM FARMS |
State: | MI |
Postal Code: | 480254537 |
Phone Number: | 2483539460 |
Fax Number: | 2483538084 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 09/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 4704113078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |