Provider Demographics
NPI:1245270826
Name:MCELHANEY, DAWN (FNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:MCELHANEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 MARION ST
Mailing Address - Street 2:VA-CBOC
Mailing Address - City:NORTH BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97459-2314
Mailing Address - Country:US
Mailing Address - Phone:541-756-8002
Mailing Address - Fax:541-765-7503
Practice Address - Street 1:2191 MARION ST
Practice Address - Street 2:VA-CBOC
Practice Address - City:NORTH BEND
Practice Address - State:OR
Practice Address - Zip Code:97459-2314
Practice Address - Country:US
Practice Address - Phone:541-756-8002
Practice Address - Fax:541-765-7503
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR88009717363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily