Individual
ELENA SCHJAVLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 BURROWS ST, KEYS2MEMORY, LLC, MYSTIC, CT 06355-2445
(860) 245-4144
(860) 245-4145
Mailing address
23 EAST MAIN ST., PO BOX 625, MYSTIC, CT 06355-0625
(860) 908-9799
(860) 245-4145
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
002017
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
#002017
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
002017
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004020178
—
CT
Enumeration date
10/05/2006
Last updated
01/07/2014
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