Individual
ELENA AMINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8913 N 19TH AVE, PHOENIX, AZ 85021-4206
(602) 858-4361
(602) 858-4363
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-5257
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
242541
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
242541
AZ
Other
Enumeration date
12/06/2020
Last updated
01/19/2023
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