Provider Demographics
NPI:1841455250
Name:ELKINS, MARLA DAWN (NP)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:DAWN
Last Name:ELKINS
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 1:215 PRIVATE ROAD 2738
Mailing Address - Street 2:
Mailing Address - City:KARNACK
Mailing Address - State:TX
Mailing Address - Zip Code:75661-2205
Mailing Address - Country:US
Mailing Address - Phone:719-371-8454
Mailing Address - Fax:
Practice Address - Street 1:1301 W PANOLA ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TX
Practice Address - Zip Code:75633-2345
Practice Address - Country:US
Practice Address - Phone:530-527-0414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60414528163W00000X
WAAP60414530363L00000X
COAPN.0991396-NP363L00000X
TXAP126137363LF0000X
CANPF18020363LP2300X
LA213742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care