Individual
ELENA G CUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3201 N VAN BUREN ST STE 350, ENID, OK 73703-1814
(580) 366-0844
(580) 297-5197
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1901
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1A0582
MEDICARE PTAN
OH
05
—
200276330A
—
OH
Enumeration date
08/29/2006
Last updated
10/31/2023
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