NPI 1104378678 · live from the CMS NPI Registry
Rowena W Elliott, Ph.D.
Nurse Practitioner, Adult Health in Atlanta, GA. National Provider Identifier 1104378678, active.
NPI record
| NPI | 1104378678 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Adult Health 363LA2200X |
| Practice location | 7 Executive Park Dr Ne, Apt. 1301, Atlanta, GA 30329 |
| Practice phone | 601-597-2787 |
| Mailing address | 1520 Clifton Rd Ne, Atlanta, GA 30322 |
| Enumerated | October 31, 2016 |
| Last updated | February 1, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology | 163WG0600X | RN259680 (GA) |
| Registered Nurse, Gerontology | 163WG0600X | R624608 (MS) |
| Nurse Practitioner, Adult Health | 363LA2200X | 901572 (MS) |
| Nurse Practitioner, Adult Health primary | 363LA2200X | RN259680 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.