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Individual

ELENA ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 383-6210
(702) 435-7050
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 383-6210
(702) 435-7050

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15704
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588751556
SMA MEDICAID
NV
01
P01454728
RAILROAD MEDICARE
NV
01
V109925
SMA MEDICARE
NV
Enumeration date
10/09/2006
Last updated
06/05/2024
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