Individual
CHARINALE ELORTA PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
77 W FOREST AVE STE 301, FLAGSTAFF, AZ 86001-1483
(928) 635-7307
(928) 774-3844
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11032
AZ
Other
Enumeration date
09/17/2013
Last updated
03/09/2026
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