Provider Demographics
NPI:1033111562
Name:ELWELL, JOY SCHLOTON (NP)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:SCHLOTON
Last Name:ELWELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROYCE CIR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:STORRS
Mailing Address - State:CT
Mailing Address - Zip Code:06268-2260
Mailing Address - Country:US
Mailing Address - Phone:860-487-9200
Mailing Address - Fax:860-487-9222
Practice Address - Street 1:1 ROYCE CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06268-2260
Practice Address - Country:US
Practice Address - Phone:860-487-9200
Practice Address - Fax:860-487-9222
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01816206Medicaid
NY01816206Medicaid
NY01816206Medicaid