Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP3089222 | FL |
NPI | 1003095175 |
---|---|
Provider Name | Deborah Elkins |
First Address | Minneapolis, MN 55402-3318 |
Second Address | Minneapolis, MN 55402-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2007 |
Last Update Date | 25/10/2007 |