Provider Demographics
NPI:1750142550
Name:ELMORE, BRITNE ALICIA (NP)
Entity type:Individual
Prefix:
First Name:BRITNE
Middle Name:ALICIA
Last Name:ELMORE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 RUIN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2932
Mailing Address - Country:US
Mailing Address - Phone:252-430-0666
Mailing Address - Fax:
Practice Address - Street 1:1206 GRANBY ST UNIT A
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2688
Practice Address - Country:US
Practice Address - Phone:803-236-7789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC325895163WP2201X
NC5019473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care