Elena Detaranto, FNP Valid NPI
Individual provider · Family Nurse Practitioner · Paoli, PA
- NPI
- 1235659020
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- SP017498 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-06-22
- Last updated
- 2017-06-22
Practice location
1776 E Lancaster Ave
Paoli, PA 19301-1550
(610) 647-4366