EDWINA ELROD ELEY


Address: 7356 Highway 509, Mansfield, LA 71052
Phone: 3188711633

EDWINA ELROD ELEY (NPI# 1144690645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144690645
Entity Type Individual
Full Name EDWINA ELROD ELEY
Credential FNP
Practice Address 7356 Highway 509
Mansfield
LA 71052
Mailing Address 104 Verona St
Newellton
LA 71357-3502
Practice Telephone 3188711633
Practice Fax Number 3188711677
Mailing Telephone 3188711633
Mailing Fax Number 3188711677
Enumeration Date 2015-09-28
Last Update Date 2018-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP08431 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
13629971 CAQH 01
LA 2407058 05

Office Location

Street Address 7356 HIGHWAY 509
City MANSFIELD
State LA
Zip Code 71052

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689186421 Bridgette Williams Counselor 419 Washington Street, Mansfield, LA 71052 2017-11-02
1922527217 Cherlyndria Wyatt Counselor 108 Hope St, Mansfield, LA 71052 2017-09-18
1619342433 Stanley Cunningham Counselor 125 Canary Lane, Mansfield, LA 71052 2015-12-04
1578936480 Comiseia Jones Counselor 2102 N Park Ave, Mansfield, LA 71052 2015-11-02
1932571023 Elichia Bennett Counselor 584 Antioch Rd, Mansfield, LA 71052 2015-10-28
1912378597 Angela Mcintyre Case Manager/Care Coordinator 162 Division St, Mansfield, LA 71052 2015-10-08
1760746176 Amy Melton Robbins Occupational Therapist 558 Turner Robbins Rd, Mansfield, LA 71052 2012-06-29
1811209232 Desoto Healthcare Center Inc. Internal Medicine 938 Louise St, Mansfield, LA 71052 2010-07-14
1174786263 Frances Jackson Speech-Language Pathologist 508 Rea Street, Mansfield, LA 71052 2008-07-08
1255521183 Superior Hospice of Northwest Louisiana, LLC Hospice Care, Community Based 511 Jenkins St., Suite B, Mansfield, LA 71052 2007-07-26
Find all providers in zip 71052

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457952319 Olufunke Oyindamola Oshoba Nurse Practitioner 200 Odyssey Ln, Mansfield, TX 76063-3438 2020-11-05
1457965386 Brittany A Wheitner Nurse Practitioner 1367 Bonnie Dr, Mansfield, OH 44905-3036 2020-09-08
1043828304 Lester E Cox Medical Centers Nurse Practitioner 414 W Ohio St, Mansfield, MO 65704-9300 2020-07-22
1295352565 Jessica Dawn Ungerer Nurse Practitioner 1020 S Trimble Rd, Mansfield, OH 44906-3428 2020-07-02
1598381949 Rebecca Sagebiel Kendrick Nurse Practitioner 322 Carlin Rd, Mansfield, TX 76063-3456 2020-06-22
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1538709084 Monica Leigh Phillips Nurse Practitioner 252 Matlock Rd Ste 130, Mansfield, TX 76063-4295 2020-01-13
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1154969830 Patience Dorcas Armstrong Nurse Practitioner 1410 Genesis Dr, Mansfield, TX 76063-8654 2019-12-13
1902468218 Doris Nwamaka Ejimadu Nurse Practitioner 305 Regency Pkwy Ste 509, Mansfield, TX 76063-3795 2019-07-08
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Competitor

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City MANSFIELD
Zip Code 71052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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