Individual
ELENA VLADIMIROVNA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7105B BAILEY CREEK CIR SE, HUNTSVILLE, AL 35802-2797
(256) 882-7469
(256) 425-0046
Mailing address
265 ITA ANN LANE, MADISON, AL 35757
(256) 882-7469
(256) 425-0046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-117322
AL
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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