Provider Demographics
NPI:1225412737
Name:ELSTRO, VERONICA LETICIA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LETICIA
Last Name:ELSTRO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 W HARTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4220
Mailing Address - Country:US
Mailing Address - Phone:602-391-9117
Mailing Address - Fax:
Practice Address - Street 1:9059 W LAKE PLEASANT PKWY
Practice Address - Street 2:#C320
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8336
Practice Address - Country:US
Practice Address - Phone:623-476-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily