Provider Demographics
NPI:1740949353
Name:ELKINS, ROBIN GRAGG (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:GRAGG
Last Name:ELKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:GRAGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7415 OAK RIDGE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CONNELLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28612-8015
Mailing Address - Country:US
Mailing Address - Phone:828-358-8995
Mailing Address - Fax:
Practice Address - Street 1:400 S GREEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3678
Practice Address - Country:US
Practice Address - Phone:828-433-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0ZUCZGW163W00000X
NC226192163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse