About Us

Stephanie Elder, DNP, MBA, ARNP, MSCP

Owner and Nurse Practitioner

Evolve Menopause & CardioMetabolic Clinic - Stephanie Elder - Issaquah, WA

Hi, I’m Stephanie Elder, DNP, MBA, ARNP, MSCP, a dedicated Nurse Practitioner and Menopause Society Certified Practitioner, with over 20 years of clinical experience in cardiovascular health.

My journey in medicine started with a passion for sports medicine, health, and fitness, and has evolved into a comprehensive approach to menopause and metabolic health—bridging the gap between advanced medical science and real-world wellness strategies.

With my unique background in cardiovascular care, hormone optimization, and metabolic health, I bring a whole-body, longevity-focused approach to treating midlife health concerns. I am committed to evidence-based, compassionate care that empowers women to take control of their health, feel stronger, and live longer, healthier lives.

Education

  • Doctorate of Nurse Practice: University of Washington

  • Master of Business Administration, Healthcare Management: Western Governors University

  • Bachelor of Nursing: Azusa Pacific University

  • Bachelor of Sports Medicine, Health & Fitness Major: University of Southern Maine

Training and Affiliations

  • Menopause Society

  • American Heart Association

  • Endocrine Society

  • American College of Sports Medicine

  • Sarah Hirsch Menopause and Hormone Optimization

Certifications

  • Adult-Gerontology Primary Care Board Certified

  • Advanced Registered Nurse Practitioner

  • Menopause Society Certified Practitioner

  • Advanced Cardiac Life Support

  • Basic Life Support

Mahkala Perkins

Clinic Manager

Evolve Menopause & CardioMetabolic Clinic - Stephanie Elder - Issaquah, WA

Mahkala Perkins is the Clinic Manager at Evolve Menopause & Cardiometabolic Clinic, where she combines empathy, intelligence, and dedication to create an exceptional patient experience. 

Known for her caring nature and genuine compassion, Mahkala ensures that every patient feels seen, supported, and empowered throughout their health journey.

Her path in healthcare began as a Patient Service Representative, where she dedicated three years to building strong relationships with patients and ensuring their needs were met. That experience sparked her passion to further her career in patient care, leading her to expand her education and clinical skills. She went on to graduate with honors and a 4.0 GPA from Pima Medical Institute as a Medical Assistant, and later earned her Medical Administration degree from Penn Foster Academy, also with honors. Currently, she is pursuing her Bachelor’s degree, continuing to build her leadership and expertise.

Mahkala has also worked extensively as a Referral Coordinator and Medical Assistant, roles that strengthened her ability to navigate complex healthcare systems, advocate for patients, and provide personalized, detail-oriented support.

At Evolve, Mahkala is deeply connected to the clinic’s mission. She works closely with the care team to deliver personalized care plans while creating a welcoming environment that prioritizes patient comfort and trust. Her intelligence, warmth, and unwavering commitment make her not just a leader, but an advocate and partner for every patient who walks through the door.