person
Elise Marie Medina
Pediatric Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1134836497

Elise Marie Medina is a Pediatric Nurse Practitioner based in Philadelphia, PA and is specialized in Pediatrics. Elise Marie Medina practices in Philadelphia, PA. The NPI Number for Elise Marie Medina is 1134836497 and holds a License No. SP026366 (Pennsylvania).

The current practice location address for Elise Marie Medina is 3500 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-1000.

Location: 3500 Civic Center Blvd, Philadelphia, PA, 19104-4319
person
Provider Profile Details
NPI Number
1134836497
Provider Name
Elise Marie Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
3500 Civic Center Blvd, Philadelphia, PA, 19104-4319
Phone Number
215-590-1000
Fax Number
Provider Enumeration Date
11/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3500 Civic Center Blvd
City
State
Zip
19104-4395
Phone Number
215-590-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Civic Center Blvd
City
State
Zip
19104-4395
Phone Number
215-590-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
SP026366 (Pennsylvania)
Definition
Definition to come...
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