MEDICARE: ELAINA ALDRIN 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
1	363L00000X	Nurse Practitioner	11020632	FL

General Provider Information

NPI Number	:	1619601184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINA ALDRIN APRN

Provider Business Mailing Address
First Line	:	8164 WOOD SAGE DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4793
Country	:	US
Telephone Number	:	407-902-7729
Fax Number	:

Provider Business Practice Location Address
First Line	:	7680 UNIVERSAL BLVD STE 130
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8900
Country	:	US
Telephone Number	:	407-883-0456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	08/11/2022

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