Individual
ELENA MARIE ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1418 BLOOMINGDALE AVE, VALRICO, FL 33596-6110
(813) 252-0171
(813) 291-7329
Mailing address
1418 BLOOMINGDALE AVE, VALRICO, FL 33596-6110
(813) 252-0171
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
ARNP9179672
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9179672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104418100
—
FL
Enumeration date
03/02/2012
Last updated
03/19/2025
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