Eldridge, Elena Marie

Eldridge, Elena Marie is an individual health care provider with primary practice located at 1418 Bloomingdale Ave , Valrico FL 33596-6110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Eldridge, Elena Marie can be contacted via phone (813) 272-0171.

Contact Information

Primary practice address
1418 Bloomingdale Ave Valrico FL 33596-6110
Phone: (813) 272-0171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9179672 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9179672 Florida

Profile Details

NPI number 1588938989
LBN Legal business name Eldridge, Elena Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Mar 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588938989 NPPES
Florida MEDICAID 104418100

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