Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | NC |
NPI | 1013951102 |
---|---|
Provider Name | Mrs. Marie Leilane Mcelwee |
First Address | Wilkesboro, NC 28697-8576 |
Second Address | North Wilkesboro, NC 28659-8971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/07/2007 |