Provider Demographics
NPI:1699518845
Name:ELMORE, CHRIS MARIE
Entity type:Individual
Prefix:MS
First Name:CHRIS
Middle Name:MARIE
Last Name:ELMORE
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 1:105 HURD CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-7174
Mailing Address - Country:US
Mailing Address - Phone:334-531-0279
Mailing Address - Fax:
Practice Address - Street 1:105 HURD CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-7174
Practice Address - Country:US
Practice Address - Phone:334-531-0279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide