Provider Demographics
NPI:1083471221
Name:DUCONGER, NORYS ELENA (AGNP)
Entity Type:Individual
Prefix:
First Name:NORYS
Middle Name:ELENA
Last Name:DUCONGER
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7140 W 2ND WAY
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-5324
Mailing Address - Country:US
Mailing Address - Phone:305-336-7732
Mailing Address - Fax:
Practice Address - Street 1:7140 W 2ND WAY
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-5324
Practice Address - Country:US
Practice Address - Phone:305-336-7732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1103311505363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology