Flores, Elanie Deshea
Flores, Elanie Deshea is an individual health care provider with primary practice located at 24 Oak Creek Dr , Fair Grove MO 65648-9149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Flores, Elanie Deshea can be contacted via phone (417) 350-9775.Contact Information
Primary practice address
24 Oak Creek Dr
Fair Grove MO 65648-9149
Phone: (417) 350-9775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2021025116 | Missouri |
Profile Details
| NPI number | 1124698204 |
|---|---|
| LBN Legal business name | Flores, Elanie Deshea |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2021 |
| Last updated | Oct 28th, 2022 - about 2 years ago |
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 | 1124698204 | NPPES |
| Missouri | MEDICAID | 420098531 |
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