Individual provider · Type 1 NPI
Doreen Massey Elitharp, NP
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1760616825
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794
Fax (634) 444-8825
Mailing address
Stony Brook University Medical Ctr, Dept. Of Surgery,division -Vascular Surgery-Hsc 19-020
Stony Brook, NY 11794-8191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 304257 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1760616825
Doreen Massey Elitharp, NP's National Provider Identifier is 1760616825, issued on May 5, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on May 5, 2009.