Provider Demographics
NPI:1093784381
Name:ELLIOTT, KATHERINE L (NP, RN)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:ELLIOTT
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Gender:F
Credentials:NP, RN
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Mailing Address - Street 1:207 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2048
Mailing Address - Country:US
Mailing Address - Phone:914-769-7070
Mailing Address - Fax:914-747-5039
Practice Address - Street 1:2 PARK AVE
Practice Address - Street 2:HOPE CENTER AT PARK CARE - 4W
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-3402
Practice Address - Country:US
Practice Address - Phone:914-964-7723
Practice Address - Fax:914-964-7720
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2012-01-26
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Provider Licenses
StateLicense IDTaxonomies
NY298419163WP2201X
NYF333103-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health