Basic Information
Provider Information
NPI: 1730622044
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCELHANEY
FirstName: AILEEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: WHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 151
Address2:  
City: NEW CASTLE
State: DE
PostalCode: 197200151
CountryCode: US
TelephoneNumber: 3026522455
FaxNumber: 3023226251
Practice Location
Address1: 27 MARROWS RD
Address2:  
City: NEWARK
State: DE
PostalCode: 197133701
CountryCode: US
TelephoneNumber: 3026522455
FaxNumber: 3023226251
Other Information
ProviderEnumerationDate: 11/18/2016
LastUpdateDate: 06/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XLH-0000217DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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