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Elena Aminov

Nurse Practitioner, Gerontology in Phoenix, AZ. Individual provider (NPI-1).

NPI number1992301923
StatusActive
Last updated in NPPESJan 19, 2023

Details

NPI
1992301923
Entity type
Individual (NPI-1)
Name
Elena Aminov
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 6, 2020
Certification date
Jan 19, 2023
Last updated
Jan 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology242541AZYes
363LA2100X Nurse Practitioner, Acute Care242541AZ

Practice location

8913 N 19th Ave
Phoenix, AZ 85021-4206

Phone 602-858-4361 · Fax 602-858-4363

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Phone 615-314-5257

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Other Gerontology Nurse Practitioner providers in Phoenix, AZ

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