Individual
ELENA VICTOROVNA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
1925 WINGFIELD DR, LONGWOOD, FL 32779-7010
(407) 463-6863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9271114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309141400
—
FL
01
—
G4529
BCBS FL
FL
Enumeration date
04/30/2008
Last updated
03/10/2020
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