Provider Demographics
NPI:1114350071
Name:MCELVENE, CHARMA ALESHEYA
Entity Type:Individual
Prefix:MRS
First Name:CHARMA
Middle Name:ALESHEYA
Last Name:MCELVENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 SUTTER PKWY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8930
Mailing Address - Country:US
Mailing Address - Phone:614-354-6167
Mailing Address - Fax:
Practice Address - Street 1:2119 SUTTER PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8930
Practice Address - Country:US
Practice Address - Phone:614-354-6167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide