Provider Demographics
NPI:1295490688
Name:DE LA MORENA, ELINOR (APRN)
Entity type:Individual
Prefix:
First Name:ELINOR
Middle Name:
Last Name:DE LA MORENA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23275 CAROLWOOD LN APT 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2111
Mailing Address - Country:US
Mailing Address - Phone:954-773-3101
Mailing Address - Fax:
Practice Address - Street 1:801 MEADOWS RD STE 116-118
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2346
Practice Address - Country:US
Practice Address - Phone:613-389-6155
Practice Address - Fax:561-338-9616
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11016306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily