Elena Hamant, FNP
Nurse Practitioner, Family in Melbourne, FL. Individual provider (NPI-1).
NPI number1659979110
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1659979110
- Entity type
- Individual (NPI-1)
- Name
- Elena Hamant
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11009708 | FL | Yes |
Practice location
1223 Gateway Dr Ste 1aMelbourne, FL 32901-2607
Phone 321-361-5616 · Fax 321-409-1792
Mailing address
3300 S Fiske BlvdRockledge, FL 32955-4306
Phone 321-361-5616
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