Provider Demographics
NPI:1316694037
Name:ERWIN, ELISE LOKELANI (APRN-BC)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:LOKELANI
Last Name:ERWIN
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:LOKELANI
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1591 SILVER KNOLL AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3838
Mailing Address - Country:US
Mailing Address - Phone:417-849-6709
Mailing Address - Fax:
Practice Address - Street 1:1591 SILVER KNOLL AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-3838
Practice Address - Country:US
Practice Address - Phone:417-849-6702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV849443363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily