Individual
ELAINE LAMB CUDNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 816-3865
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 816-3865
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5014032
NC
363LP0200X
Pediatric Nurse Practitioner
APRN001528
NV
363LP0200X
Pediatric Nurse Practitioner
RN965576
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164629267
—
NV
01
—
11820188
CAQH
—
Enumeration date
07/02/2007
Last updated
06/18/2021
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