Individual
ELENA VEDENEEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
465 SAINT MICHAELS DR STE 209, SANTA FE, NM 87505-8603
(505) 913-3933
Mailing address
465 SAINT MICHAELS DR STE 209, SANTA FE, NM 87505-8603
(505) 913-3933
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-02298
NM
Other
Enumeration date
12/04/2013
Last updated
07/28/2014
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