Provider Demographics
NPI:1013951102
Name:MCELWEE, MARIE LEILANE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:LEILANE
Last Name:MCELWEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:MARIE
Other - Middle Name:LEILANE
Other - Last Name:SAROL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:245 PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-8576
Mailing Address - Country:US
Mailing Address - Phone:336-838-4510
Mailing Address - Fax:336-667-5357
Practice Address - Street 1:204 OLD BRICKYARD RD
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-8971
Practice Address - Country:US
Practice Address - Phone:336-667-2020
Practice Address - Fax:336-667-5357
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health