Individual
KERSTIN ANNETTE MCELVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3442 US HWY 431, ALBERTVILLE, AL 35950
(256) 580-7660
(256) 580-7670
Mailing address
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426-6698
(928) 788-3333
(928) 788-3555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220904
AZ
363LF0000X
Family Nurse Practitioner
11006756
FL
363LF0000X
Family Nurse Practitioner
220904
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14375499
CAQH
—
05
—
499018
—
AZ
Enumeration date
01/22/2019
Last updated
12/27/2024
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