Eldridge, Elena Marie
Eldridge, Elena Marie is an individual health care provider with primary practice located at 1418 Bloomingdale Ave , Valrico FL 33596-6110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Eldridge, Elena Marie can be contacted via phone (813) 272-0171.Contact Information
Primary practice address
1418 Bloomingdale Ave
Valrico FL 33596-6110
Phone: (813) 272-0171
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 9179672 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP9179672 | Florida |
Profile Details
NPI number | 1588938989 |
---|---|
LBN Legal business name | Eldridge, Elena Marie |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2012 |
Last updated | Mar 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588938989 | NPPES |
Florida | MEDICAID | 104418100 |
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