Provider Demographics
NPI:1265930044
Name:ELKINS, HALEY SUZANNE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:SUZANNE
Last Name:ELKINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:HALEY
Other - Middle Name:SUZANNE
Other - Last Name:LEACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:927 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:AXIS
Mailing Address - State:AL
Mailing Address - Zip Code:36505-4348
Mailing Address - Country:US
Mailing Address - Phone:251-656-9672
Mailing Address - Fax:
Practice Address - Street 1:750 MORPHY AVE
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1812
Practice Address - Country:US
Practice Address - Phone:251-656-9672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-148878364SN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SN0000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeonatal