Individual
ELENA NIKITINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 644-3720
Mailing address
100 WHITE OAK RD, REHOBOTH BEACH, DE 19971-9774
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
L1-0043608
DE
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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