Basic Information
Provider Information
NPI: 1295068625
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEADOWS
FirstName: ELENA
MiddleName: NAPIER
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2131 S 17TH ST
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017407
CountryCode: US
TelephoneNumber: 9106679402
FaxNumber:  
Practice Location
Address1: 2131 S 17TH ST
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017407
CountryCode: US
TelephoneNumber: 9106679402
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/17/2009
LastUpdateDate: 06/08/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X187285NCN Nursing Service ProvidersRegistered Nurse 
367500000X084193NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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