Individual
MS. ELENA KIRILOVA TANEVA-CHOLAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21NP05
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO
N/A
—
Enumeration date
09/21/2021
Last updated
09/21/2021
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