Provider Demographics
NPI:1538134101
Name:ELKINS-PLACIDE, FRANCXS P (PA-C)
Entity Type:Individual
Prefix:
First Name:FRANCXS
Middle Name:P
Last Name:ELKINS-PLACIDE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:PAULA
Other - Last Name:PLACIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:17210 77TH AVE W
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-5010
Mailing Address - Country:US
Mailing Address - Phone:828-506-1086
Mailing Address - Fax:
Practice Address - Street 1:17210 77TH AVE W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-5010
Practice Address - Country:US
Practice Address - Phone:828-506-1086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103148363A00000X
WA60842132363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMP0741896OtherDEA
NCP49947Medicare UPIN
NCMP0741896OtherDEA