Individual
ELIZABETH W MAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 293-0052
Mailing address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 293-0052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010710A
IN
363LP2300X
Primary Care Nurse Practitioner
28198875A
IN
Other
Enumeration date
01/08/2021
Last updated
04/21/2025
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