Provider Demographics
NPI:1417768276
Name:ELKIN, JULIA AMY
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:AMY
Last Name:ELKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21528 ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2213
Mailing Address - Country:US
Mailing Address - Phone:402-871-9149
Mailing Address - Fax:
Practice Address - Street 1:1411 N 104TH PLZ APT 356
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-1134
Practice Address - Country:US
Practice Address - Phone:402-871-9149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider