Theresa Elena Elango NP-C

NPI 1255684007 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1255684007
Gender Female
Enumeration Date 10/17/2012
Last Updated 10/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3075 RONALD REAGAN BLVD STE 501
CUMMING GA, 30041-6052, US
Phone (678) 736-6000
Fax (678) 736-6004
Business Location
3075 RONALD REAGAN BLVD STE 501
CUMMING GA, 30041-6052, US
Phone (678) 736-6000
Fax (678) 736-6004
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN161701
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According to our database, Mrs. Theresa Elena Elango NP-C NPI is 1255684007, taxonomy code is 363LF0000X and license number is RN161701, license state is located at Georgia. Theresa Elena Elango NP-C physically located at 3075 Ronald Reagan Blvd Ste 501, Cumming GA, 30041-6052. NPI Number Theresa Elena Elango NP-C has the Individual type.

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1255684007 NPI number is provided on an as is basis without warranty of any kind. 1255684007 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Elena Elango NP-C are for informational purposes only.