Organization
ELITE SURGICAL ASSISTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA E NELSON (CEO)
(502) 267-6947
Entity
Organization
Contact information
Practice address
10402 BAYPORT RD, LOUISVILLE, KY 40299-4078
(502) 267-6947
Mailing address
10402 BAYPORT RD, LOUISVILLE, KY 40299-4078
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922185057
NPI
KY
Enumeration date
08/17/2010
Last updated
08/17/2010
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