Provider Demographics
NPI:1861801250
Name:TOENJES, ELAINA BINGHAM (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:ELAINA
Middle Name:BINGHAM
Last Name:TOENJES
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 5TH ST SE
Mailing Address - Street 2:
Mailing Address - City:OELWEIN
Mailing Address - State:IA
Mailing Address - Zip Code:50662-2547
Mailing Address - Country:US
Mailing Address - Phone:319-283-1908
Mailing Address - Fax:319-283-5828
Practice Address - Street 1:800 5TH ST SE
Practice Address - Street 2:
Practice Address - City:OELWEIN
Practice Address - State:IA
Practice Address - Zip Code:50662-2547
Practice Address - Country:US
Practice Address - Phone:319-283-1908
Practice Address - Fax:319-283-5828
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA128998363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily