Provider Demographics
NPI:1558106195
Name:AUSLOOS, ELENA ANN
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:ANN
Last Name:AUSLOOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18534 N 96TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-2476
Mailing Address - Country:US
Mailing Address - Phone:602-451-8033
Mailing Address - Fax:
Practice Address - Street 1:18534 N 96TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-2476
Practice Address - Country:US
Practice Address - Phone:602-451-8033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program