Individual
ELAINE MARIE NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
831578
TX
163WR0006X
Registered Nurse First Assistant
Primary
831578
TX
363LF0000X
Family Nurse Practitioner
AP137832
TX
363LF0000X
Family Nurse Practitioner
C-APN.0001156-C-NP
CO
Other
Enumeration date
02/20/2018
Last updated
08/28/2024
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