Provider Demographics
NPI:1457193989
Name:MCELROY, EMMA TERESA
Entity type:Individual
Prefix:MISS
First Name:EMMA
Middle Name:TERESA
Last Name:MCELROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3738 GLEN OAKS BLVD APT 72
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-4374
Mailing Address - Country:US
Mailing Address - Phone:712-333-3662
Mailing Address - Fax:
Practice Address - Street 1:3738 GLEN OAKS BLVD APT 72
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-4374
Practice Address - Country:US
Practice Address - Phone:712-333-3662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program