Provider Demographics
NPI:1912697087
Name:ELKIN, MEGHAN (RN)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:ELKIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 VAN RENSSELAER DR
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-3910
Mailing Address - Country:US
Mailing Address - Phone:859-619-7388
Mailing Address - Fax:
Practice Address - Street 1:421 ELM ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1209
Practice Address - Country:US
Practice Address - Phone:518-370-8252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY807266163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool