Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW60829748 | WA |
NPI | 1083113468 |
---|---|
Provider Name | Erin K Elkins |
First Address | Yakima, WA 98904-4045 |
Second Address | Yakima, WA 98902-2951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2018 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2133690 | (05) | WA |