Provider Demographics
NPI:1912538893
Name:ELSBERRY, ARIN (PA-C)
Entity Type:Individual
Prefix:
First Name:ARIN
Middle Name:
Last Name:ELSBERRY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ARIN
Other - Middle Name:
Other - Last Name:REIMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2306 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:OGALLALA
Mailing Address - State:NE
Mailing Address - Zip Code:69153-3216
Mailing Address - Country:US
Mailing Address - Phone:308-289-6274
Mailing Address - Fax:
Practice Address - Street 1:3219 CENTRAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2958
Practice Address - Country:US
Practice Address - Phone:308-865-2370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2446363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant