Individual
ELAINE JUSTINE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 1 WEST GATES, PHILADELPHIA, PA 19104-4206
(215) 662-2730
Mailing address
3400 SPRUCE ST, 1 WEST GATES, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NJ00338700
NJ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP007961
PA
Other
Enumeration date
05/22/2007
Last updated
08/20/2024
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