Individual
ELENA CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 524-8130
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(547) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28214957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201292510
—
IN
Enumeration date
05/16/2014
Last updated
03/17/2023
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