Healthcare Provider Details
I. General information
NPI: 1780752840
Provider Name (Legal Business Name): MICHELLE L MCELHINEY ARNP, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5150 LINTON BLVD STE 201
DELRAY BEACH FL
33484-6543
US
IV. Provider business mailing address
10151 ENTERPRISE CENTER BLVD SUITE 108
BOYNTON BEACH FL
33437
US
V. Phone/Fax
- Phone: 561-499-2015
- Fax: 561-499-2016
- Phone: 561-740-4855
- Fax: 561-740-4755
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 9197848 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: