Provider Demographics
NPI:1194261339
Name:ELFFERS, JOANNE
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:ELFFERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6584 MEADOW FARM DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-3233
Mailing Address - Country:US
Mailing Address - Phone:330-671-3088
Mailing Address - Fax:
Practice Address - Street 1:6584 MEADOW FARM DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-3233
Practice Address - Country:US
Practice Address - Phone:330-671-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH194368163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health