Healthcare Provider Details

I. General information

NPI: 1225866130
Provider Name (Legal Business Name): ELENA CARDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENA BERGSTROM

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

188 INTEGRA VISTAS DR APT 303
HIXSON TN
37343-5426
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-7000
  • Fax:
Mailing address:
  • Phone: 678-314-7261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN-CRNA255351
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: