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Ellen R Superdock, CRNP
Family Nurse Practitioner in Lebanon, Pennsylvania
NPI 1497306336

Ellen R Superdock is a Family Nurse Practitioner based in Lancaster, PA and is specialized in Family. Ellen R Superdock practices in Lebanon, PA and has the professional credentials of CRNP. The NPI Number for Ellen R Superdock is 1497306336 and holds a License No. SP020508 (Pennsylvania).

The current practice location address for Ellen R Superdock is 920 Church St, Lebanon, PA and can be reached out via phone at 717-272-2700.

Location: 920 Church St, Lebanon, PA, 17603-3374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497306336
Provider Name
Ellen R Superdock
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
920 Church St, Lebanon, PA, 17603-3374
Phone Number
717-272-2700
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 Church St
City
Lebanon
State
Pennsylvania
Zip
17046-4656
Phone Number
717-272-2700
Fax Number
person
Provider Business Mailing Address Details
Address
920 Church St
City
Lebanon
State
Pennsylvania
Zip
17046-4656
Phone Number
717-272-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP020508 (Pennsylvania)
Definition
Definition to come...
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