Provider Demographics
NPI:1851878375
Name:CONROY, ELAINA MICHELE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ELAINA
Middle Name:MICHELE
Last Name:CONROY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ELAINA
Other - Middle Name:MICHELE
Other - Last Name:MIGLIORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6100 WHIPPLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7618
Mailing Address - Country:US
Mailing Address - Phone:330-305-6999
Mailing Address - Fax:
Practice Address - Street 1:6100 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7618
Practice Address - Country:US
Practice Address - Phone:330-305-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.427993163W00000X
OHAPRN.CNP.022830363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse