Provider Demographics
NPI:1306520648
Name:ADKINS, ELANA MICHELLE (RN)
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:MICHELLE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 GLENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WV
Mailing Address - Zip Code:25541-1312
Mailing Address - Country:US
Mailing Address - Phone:304-544-8669
Mailing Address - Fax:
Practice Address - Street 1:300 PRESTIGE PARK DR
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-8419
Practice Address - Country:US
Practice Address - Phone:304-202-3864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV91156163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health