Provider Demographics
NPI:1760915185
Name:LEONOR, ELAINE MAE ALMAIZ (AGNP-C)
Entity Type:Individual
Prefix:MS
First Name:ELAINE MAE
Middle Name:ALMAIZ
Last Name:LEONOR
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:M
Other - Last Name:LEONOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AGNP-C
Mailing Address - Street 1:8118 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3574
Mailing Address - Country:US
Mailing Address - Phone:301-552-5117
Mailing Address - Fax:301-552-8896
Practice Address - Street 1:8118 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3574
Practice Address - Country:US
Practice Address - Phone:301-552-5117
Practice Address - Fax:301-552-8896
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR167284363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology