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Individual

ELENA RESENDIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1720 MILTON WAY, PERRY, GA 31069-2329
(478) 273-1773
Mailing address
1720 MILTON WAY, PERRY, GA 31069-2329
(478) 273-1773

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN240456
GA
363LF0000X
Family Nurse Practitioner
Primary
RN240456
GA
363LP2300X
Primary Care Nurse Practitioner
RN240456
GA

Other

Enumeration date
05/23/2023
Last updated
05/23/2023
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