Healthcare Provider Details

I. General information

NPI: 1740866540
Provider Name (Legal Business Name): ELENA ELIZABETH BARERRA CHAMORRO-CAGWIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 CURLEY RD UNIT 206
WESLEY CHAPEL FL
33545-9156
US

IV. Provider business mailing address

7800 CURLEY RD UNIT 206
WESLEY CHAPEL FL
33545-9156
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4721
  • Fax:
Mailing address:
  • Phone: 813-467-4721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11011121
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: