Individual
MS. ELENA Y KAITSCHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8705 E MCDOWELL RD, SCOTTSDALE, AZ 85257-3909
(480) 882-4545
(480) 882-5890
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9907
AZ
363LF0000X
Family Nurse Practitioner
RN171018
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302718
—
AZ
Enumeration date
03/08/2017
Last updated
12/22/2022
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