Provider Demographics
NPI:1659538882
Name:HARWOOD, ELAINE BROOKS (FNP)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:BROOKS
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ELAINE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 EASTWIND PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8674
Mailing Address - Country:US
Mailing Address - Phone:919-824-1486
Mailing Address - Fax:
Practice Address - Street 1:3140 N HIGHWAY 16
Practice Address - Street 2:SUITE 103
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7314
Practice Address - Country:US
Practice Address - Phone:980-505-8403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCUPIN P91454Medicare UPIN