Provider Demographics
NPI:1386281533
Name:MCGINTY, ELENA (MSN, AOCNS, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:
Last Name:MCGINTY
Suffix:
Gender:F
Credentials:MSN, AOCNS, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 BROWNSTONE LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 CREEKSHIRE WAY
Practice Address - Street 2:SUITE 270
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103
Practice Address - Country:US
Practice Address - Phone:336-701-3111
Practice Address - Fax:888-757-4153
Is Sole Proprietor?:No
Enumeration Date:2019-12-06
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC424364S00000X
NC5012590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist