ELENA VITALIEVNA LIDGARD

BRADENTON, FL
NPI1528698396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11005829)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  11005829)
Enumeration Date2020-01-21
Last Update Date2022-06-14
Business Address
ELENA VITALIEVNA LIDGARD APRN
2020 59TH ST W
BRADENTON, FL 34209-4669
Phone number: 941-798-6199
Mailing Address
ELENA VITALIEVNA LIDGARD APRN
347 MONTGOMERY AVE
SARASOTA, FL 34243-1509
Phone number: 520-954-8224