Individual
ANISHA ELACKATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
5500 N MACARTHUR BLVD, IRVING, TX 75038-2603
(866) 389-2727
Mailing address
8605 LINDENWOOD LN, IRVING, TX 75063-3917
(847) 409-1431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131948
TX
363LF0000X
Family Nurse Practitioner
ARNP 9385126
FL
363LF0000X
Family Nurse Practitioner
SP013355
PA
Other
Enumeration date
11/05/2013
Last updated
12/16/2016
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