Individual
MRS. ANGELA MICHELLE ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7345 S DURANGO DR STE 111, LAS VEGAS, NV 89113-3608
(702) 463-1400
Mailing address
818 LAKENGREN DR, EATON, OH 45320-2544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
884903
NV
163W00000X
Registered Nurse
95349510
CA
163W00000X
Registered Nurse
Primary
RN-300308
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0042767
OH
Other
Enumeration date
08/18/2008
Last updated
07/24/2026
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