Individual
ELEONORA SHUKSHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
689 NW BURNSIDE RD, GRESHAM, OR 97030-3739
(503) 382-8100
Mailing address
6760 E NORTHRIDGE ST, MESA, AZ 85215-1671
(602) 565-3792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
263643
AZ
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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