Individual
MRS. SHEILA KAY ELMENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2175 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 37311-3842
(423) 472-1140
(423) 339-2242
Mailing address
2175 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 37311-3842
(423) 472-1140
(423) 339-2242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000005344
TN
367A00000X
Advanced Practice Midwife
APN0000005344
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11976212
CAQH
TN
05
—
1514544
—
TN
01
—
4234354
BLUE CROSS
TN
01
—
APN0000005344
ADVANCED PRACTICE
TN
Enumeration date
12/26/2007
Last updated
12/02/2009
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