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NPI Code Detail

MEDICARE: MRS. JANINA MARIE ELKIN FNP

MEDICARE: MRS. JANINA MARIE ELKIN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP3832AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164723300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANINA MARIE ELKIN FNP
Provider Business Mailing Address
First Line : 309 LAKE HAVASU AVE S
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-9309
Country : US
Telephone Number : 928-453-1970
Fax Number : 855-538-3082
Provider Business Practice Location Address
First Line : 309 LAKE HAVASU AVE S
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-9309
Country : US
Telephone Number : 928-453-1970
Fax Number : 855-538-3082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2010
Last Update Date : 05/21/2026

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