Individual
ELENA C. CASANOVA-GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE, SUITE 356 LANKENAU MOB EAST, WYNNEWOOD, PA 19096-3450
(484) 476-8210
(610) 552-0029
Mailing address
100 E LANCASTER AVE, SUITE 356 LANKENAU MOB EAST, WYNNEWOOD, PA 19096-3450
(484) 476-8210
(610) 552-0029
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
VP006089P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
02/23/2006
Last updated
10/03/2011
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