ELENA IVANOVA

PHOENIX, AZ
NPI1396132312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP7748)
Enumeration Date2015-04-16
Last Update Date2017-01-30
Business Address
-- ELENA IVANOVA
1108 W INDIAN SCHOOL RD STE B
PHOENIX, AZ 85013
Phone number: 602-773-5600
Mailing Address
-- ELENA IVANOVA
1108 W INDIAN SCHOOL RD STE B
PHOENIX, AZ 85013-3107
Phone number: 602-773-5600
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