Provider Demographics
NPI:1598272593
Name:MINNEFIELD, ELIENNA UNIQUE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:ELIENNA
Middle Name:UNIQUE
Last Name:MINNEFIELD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 COMMERCE BLVD.
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207
Mailing Address - Country:US
Mailing Address - Phone:256-452-9488
Mailing Address - Fax:
Practice Address - Street 1:1400 COMMERCE BLVD.
Practice Address - Street 2:SUITE 3
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-452-9488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-29
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide