Provider Demographics
NPI:1760035612
Name:ELKINTON, ROSALIE MARGARET (CNM, WHNP)
Entity Type:Individual
Prefix:MS
First Name:ROSALIE
Middle Name:MARGARET
Last Name:ELKINTON
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5352
Mailing Address - Country:US
Mailing Address - Phone:401-727-4800
Mailing Address - Fax:401-921-6924
Practice Address - Street 1:21 DIVISION ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5352
Practice Address - Country:US
Practice Address - Phone:401-727-4800
Practice Address - Fax:401-921-6924
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN03204363LW0102X
RICNM00200367A00000X
CA236065367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health