Individual
MRS. LAURIE JEWEL ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
905 WASHINGTON AVENUE, NITRO, WV 25143
(304) 755-0415
Mailing address
905 WASHINGTON AVENUE, NITRO, WV 25143
(304) 755-0415
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
52317
WV
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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