Provider Demographics
NPI:1568210060
Name:VALE-SAQUIERES, ELENA (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:VALE-SAQUIERES
Suffix:
Gender:
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 LITTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-7308
Mailing Address - Country:US
Mailing Address - Phone:407-765-2289
Mailing Address - Fax:
Practice Address - Street 1:3564 E COLONIAL DR STE 17
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5147
Practice Address - Country:US
Practice Address - Phone:407-765-2289
Practice Address - Fax:321-300-1061
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032741363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty