Healthcare Provider Details

I. General information

NPI: 1992073431
Provider Name (Legal Business Name): ELENA ATCHLEY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 OLD NC 86 STE 105
HILLSBOROUGH NC
27278-8788
US

IV. Provider business mailing address

300 MADDINGTON PL
HILLSBOROUGH NC
27278-6000
US

V. Phone/Fax

Practice location:
  • Phone: 919-732-2909
  • Fax: 919-732-3089
Mailing address:
  • Phone: 919-342-0895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024169751
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5007386
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: