Individual
MRS. AMANDA LAYNE ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1711 PEPPERELL PARKWAY, OPELIKA, AL 36801
(334) 704-0200
(706) 571-1603
Mailing address
1711 PEPPERELL PARKWAY, OPELIKA, AL 36801
(334) 704-0200
(706) 571-1603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-096838
AL
363L00000X
Nurse Practitioner
RN175222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN175222
STATE OF GEORGIA, GEORGIA BOARD OF NURSING
GA
Enumeration date
08/31/2010
Last updated
11/08/2012
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