Provider Demographics
NPI:1407689391
Name:ELEFLOW
Entity type:Organization
Organization Name:ELEFLOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:RODGERS
Authorized Official - Last Name:SHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CLWT
Authorized Official - Phone:615-686-8262
Mailing Address - Street 1:18 EAGLES NEST LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1443
Mailing Address - Country:US
Mailing Address - Phone:615-686-8262
Mailing Address - Fax:
Practice Address - Street 1:18 EAGLES NEST LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1443
Practice Address - Country:US
Practice Address - Phone:615-686-8262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty