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NPI Code Detail

MEDICARE: ELISA CONTRERAS APRN

MEDICARE: ELISA CONTRERAS APRN
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
1363L00000XNurse PractitionerAPRN9324307FL
2363LF0000XFamily Nurse PractitionerAPRN9324307FL

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 : 1184194342
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA CONTRERAS APRN
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 1396 WHISPER CIR
Second Line :
City : SEBRING
State : FL
Zip : 33870-1204
Country : US
Telephone Number : 863-385-1244
Fax Number : 863-385-6086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2018
Last Update Date : 04/16/2025

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Directions to “ ELISA CONTRERAS APRN” Practice Location

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