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NPI Code Detail

MEDICARE: ELENA MCCABE FNP

MEDICARE: ELENA MCCABE 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 PractitionerAP10308AZ

General Provider Information

NPI Number : 1649791450
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA MCCABE FNP
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 4730 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2703
Country : US
Telephone Number : 520-290-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2017
Last Update Date : 11/15/2022

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Directions to “ ELENA MCCABE FNP” Practice Location

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