Individual provider · Type 1 NPI
Elena Vitalievna Lidgard, APRN
Nurse Practitioner · Bradenton, FL
Practice location
2020 59th St W
Bradenton, FL 34209-4669
Mailing address
347 Montgomery Ave
Sarasota, FL 34243-1509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11005829 (FL) |
| Nurse Practitioner Primary | 363L00000X | APRN11005829 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1528698396
Elena Vitalievna Lidgard, APRN's National Provider Identifier is 1528698396, issued on Jan 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bradenton, FL. The record was last updated on Jun 14, 2022.