Individual
NICOLE ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2002 12TH AVE NW, SUITE D, ARDMORE, OK 73401-1227
(580) 226-8646
(580) 226-8641
Mailing address
2002 12TH AVE NW, SUITE D, ARDMORE, OK 73401-1227
(580) 226-8646
(580) 226-8641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1788
OK
Other
Enumeration date
04/09/2009
Last updated
07/12/2010
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