Provider Demographics
NPI:1144756420
Name:ELKIND, SUZANNE (CNM)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:ELKIND
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2421
Mailing Address - Country:US
Mailing Address - Phone:617-710-4564
Mailing Address - Fax:321-517-2500
Practice Address - Street 1:394 STONEY BROOK RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-6162
Practice Address - Country:US
Practice Address - Phone:617-710-4564
Practice Address - Fax:321-517-2500
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2286258367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife