Provider Demographics
NPI:1285322982
Name:ELKINS, ERICA P (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:P
Last Name:ELKINS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 BOYS RANCH RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35619-6101
Mailing Address - Country:US
Mailing Address - Phone:256-560-1642
Mailing Address - Fax:
Practice Address - Street 1:893 BOYS RANCH RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35619-6101
Practice Address - Country:US
Practice Address - Phone:256-560-1642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-139284163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant