Provider Demographics
NPI:1720213960
Name:MCELROY, MICHELLE APRIL (RN)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:APRIL
Last Name:MCELROY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5618 BONAVENTURE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-7232
Mailing Address - Country:US
Mailing Address - Phone:614-581-4999
Mailing Address - Fax:
Practice Address - Street 1:5618 BONAVENTURE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-7232
Practice Address - Country:US
Practice Address - Phone:614-581-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 322544163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse