Schjavland, Elena

Schjavland, Elena is an sole proprietor health care provider with primary practice located at 20 Burrows St Keys2Memory, Llc, Mystic CT 06355-2445. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Schjavland, Elena can be contacted via phone (860) 245-4144.

Contact Information

Primary practice address
20 Burrows St Keys2Memory, Llc Mystic CT 06355-2445
Phone: (860) 245-4144
Fax: (860) 245-4145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002017 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X #002017 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002017 Connecticut

Profile Details

NPI number 1871689679
LBN Legal business name Schjavland, Elena
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jan 7th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871689679 NPPES
Connecticut MEDICAID 004020178

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