Individual
TERILEA JENNIFER ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CHES
Contact information
Practice address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 471-8447
(623) 213-8523
Mailing address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 471-9355
(623) 213-8523
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
31711
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262957251
SENIOR HMO PLANS
AZ
05
—
262957251
—
AZ
Enumeration date
07/05/2019
Last updated
11/04/2020
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