Organization
ELDERHEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE SELF MD (FOUNDER)
(520) 829-9987
Entity
Organization
Contact information
Practice address
1846 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 329-2699
Mailing address
1846 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 829-9987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/08/2020
Last updated
09/02/2021
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