Provider Demographics
NPI:1902266430
Name:ATTIOGBE, ELAINE E (MSN, FNP-BC, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:E
Last Name:ATTIOGBE
Suffix:
Gender:F
Credentials:MSN, FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3039 MEMORIAL CT
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-9127
Mailing Address - Country:US
Mailing Address - Phone:575-522-4145
Mailing Address - Fax:575-522-5236
Practice Address - Street 1:3039 MEMORIAL CT
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-9127
Practice Address - Country:US
Practice Address - Phone:575-522-4145
Practice Address - Fax:575-522-5236
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily