Provider Demographics
NPI:1528027042
Name:ELAIHO, JOYCELYN (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JOYCELYN
Middle Name:
Last Name:ELAIHO
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14100 SAN PEDRO AVE
Mailing Address - Street 2:STE 412
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4361
Mailing Address - Country:US
Mailing Address - Phone:210-281-8669
Mailing Address - Fax:
Practice Address - Street 1:1714 SW MILITARY DR STE 108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1418
Practice Address - Country:US
Practice Address - Phone:210-998-4767
Practice Address - Fax:210-314-5044
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP107110363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics