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NPI Code Detail

MEDICARE: ELENA CARRETTA

MEDICARE:   ELENA  CARRETTA
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 PractitionerAP8023AZ

General Provider Information

NPI Number : 1326412388
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA CARRETTA
Provider Business Mailing Address
First Line : 6859 E REMBRANDT AVE
Second Line : STE 117
City : MESA
State : AZ
Zip : 85212-3628
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6859 E REMBRANDT AVE
Second Line : STE 117
City : MESA
State : AZ
Zip : 85212-3628
Country : US
Telephone Number : 480-632-1577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2015
Last Update Date : 11/13/2015

Similar Medicare Providers

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Directions to “ ELENA CARRETTA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.