Individual
MISS DENISE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CRNI
Contact information
Practice address
2447 N WICKHAM RD STE 138, PMB 147, MELBOURNE, FL 32935-8127
(186) 654-5742
Mailing address
2447 N WICKHAM RD STE 138, PMB 147, MELBOURNE, FL 32935-8127
(186) 654-5742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN9198810
FL
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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