Individual provider · Type 1 NPI
Elena Konakova
Family Nurse Practitioner · Philadelphia, PA
NPI number
1124449434
Active
Practice location
2000 Grant Ave Ste 201
Philadelphia, PA 19115-4378
Mailing address
3509 N Broad St
Philadelphia, PA 19140-4105
Other practice locations
- 10101 Academy Rd, Suite 104, Philadelphia, PA 19114-1177 · (215) 710-3783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP017116 (PA) |
| Adult Health Nurse Practitioner | 363LA2200X | SP012935 (PA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1124449434
Elena Konakova's National Provider Identifier is 1124449434, issued on Jan 5, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 19, 2026.