Provider Demographics
NPI:1053311845
Name:ELSWICK, DENISE C (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:C
Last Name:ELSWICK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10910 E STATE ROAD 70
Mailing Address - Street 2:SUITE102
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-8406
Mailing Address - Country:US
Mailing Address - Phone:941-896-3900
Mailing Address - Fax:941-896-3901
Practice Address - Street 1:10910 E STATE ROAD 70
Practice Address - Street 2:SUITE102
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-8406
Practice Address - Country:US
Practice Address - Phone:941-896-3900
Practice Address - Fax:941-896-3901
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL486422363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL302619100Medicaid
FLS67287Medicare UPIN
FLE1562XMedicare PIN