Provider Demographics
NPI:1992073431
Name:ATCHLEY, ELENA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:
Last Name:ATCHLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MADDINGTON PL
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-6000
Mailing Address - Country:US
Mailing Address - Phone:919-342-0895
Mailing Address - Fax:
Practice Address - Street 1:2800 OLD NC 86 STE 105
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8788
Practice Address - Country:US
Practice Address - Phone:919-732-2909
Practice Address - Fax:919-732-3089
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169751363LF0000X
NC5007386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily