Individual
ELENA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 MEDICAL CARE DR, BRANDON, FL 33511-5942
(813) 689-4114
Mailing address
605 MEDICAL CARE DR, BRANDON, FL 33511-5942
(727) 420-0162
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9248331
FL
Other
Enumeration date
12/08/2016
Last updated
07/25/2017
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