Individual
ELENA TIOUTIAREVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-5112
Mailing address
1714 MAGNOLIA AVE, SOUTH DAYTONA, FL 32119-1711
(407) 242-5364
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11027673
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN11027673
FL
Other
Enumeration date
08/08/2023
Last updated
09/20/2023
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