Provider Demographics
NPI:1649600149
Name:MCELROY, ELIZABETH JEAN (LPN)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JEAN
Last Name:MCELROY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:JEAN
Other - Last Name:DYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:732 RACE ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-5759
Mailing Address - Country:US
Mailing Address - Phone:740-825-9052
Mailing Address - Fax:
Practice Address - Street 1:732 RACE ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-5759
Practice Address - Country:US
Practice Address - Phone:740-825-9052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH142205164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse