Doctor Name: | ELENA AMBROGINI |
NPI Number: | 1003133224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 4301 W Markham St # 783 Little Rock, AR - 722057101 |
Business Phone Number: | 5016868000 |
Business Fax Number: | 5015266562 |
Mailing Address: | 2415 N Pierce St, LITTLE ROCK |
State: | AR |
Postal Code: | 722073618 |
Phone Number: | 5126710189 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2010 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |