Individual
MRS. ELENA TIMCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2497
(888) 369-2427
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024524
PA
Other
Enumeration date
01/12/2022
Last updated
03/09/2022
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