Healthcare Provider Details

I. General information

NPI: 1285241083
Provider Name (Legal Business Name): ERIN AMBER ELPHICK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6019 OLEANDER DR
WILMINGTON NC
28403-4796
US

IV. Provider business mailing address

PO BOX 5105
BELFAST ME
04915-5100
US

V. Phone/Fax

Practice location:
  • Phone: 910-790-9714
  • Fax: 910-791-1063
Mailing address:
  • Phone: 910-790-9714
  • Fax: 910-791-1063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-10804
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: