Individual
ELENA KOUZMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 JFK DR STE 138, ATLANTIS, FL 33462-6631
(954) 248-3422
(800) 970-6020
Mailing address
831 CORAL RIDGE DR, CORAL SPRINGS, FL 33071-4180
(954) 248-3422
(800) 970-6020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
937252
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11003036
FL
363LG0600X
Gerontology Nurse Practitioner
11003036
FL
Other
Enumeration date
08/01/2019
Last updated
09/24/2019
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