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Elena Sophia Ifarraguerri

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2240 M St NW, Washington, DC 20037-1415

PECOS Enrollment

This provider is enrolled in PECOS as ELENA IFARRAGUERRI.

Based on the most recent information from CMS, provider Elena Sophia Ifarraguerri is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1083489785
Provider Type
Individual
Full Name
Ifarraguerri, Elena Sophia
Gender
Female

Sole Proprietor
No
Enumeration Date
11/22/2023
Last Updated
11/22/2023

Contact Information

Practice Location

2240 M St NW, Washington, DC 20037-1415

(202) 296-9876

Unlisted Fax

Mailing Location

1603 Holly Ct, Mc Lean, VA 22101-4655

(703) 626-5040

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NP500014541 District of Columbia

Elena Sophia Ifarraguerri

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Gray, Donna

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Blue, Brenda B

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Mounteer, Jay Mason

Lesnau, Alan

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Rose, Martha Deborah

Prashar, Tiffany