Provider Demographics
NPI:1093822496
Name:MCELWEE, AVA C (APRNC)
Entity Type:Individual
Prefix:
First Name:AVA
Middle Name:C
Last Name:MCELWEE
Suffix:
Gender:F
Credentials:APRNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HOSPITAL DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2394
Mailing Address - Country:US
Mailing Address - Phone:318-746-4842
Mailing Address - Fax:318-746-2326
Practice Address - Street 1:2300 HOSPITAL DR
Practice Address - Street 2:SUITE 140
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2394
Practice Address - Country:US
Practice Address - Phone:318-746-4842
Practice Address - Fax:318-746-2326
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO3489363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health