Provider Demographics
NPI:1649867060
Name:ELEVATION HEALTHCARE
Entity type:Organization
Organization Name:ELEVATION HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,CRNP,CNM,FNP-C
Authorized Official - Phone:862-215-8215
Mailing Address - Street 1:11675 IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-9715
Mailing Address - Country:US
Mailing Address - Phone:862-215-8215
Mailing Address - Fax:
Practice Address - Street 1:1647 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1874
Practice Address - Country:US
Practice Address - Phone:862-215-8215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty