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Individual

ELAINE C. FIDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
104 PHEASANT RUN, SUITE 128, NEWTOWN, PA 18940-3439
(215) 860-3344
Mailing address
104 PHEASANT RUN, SUITE 128, NEWTOWN, PA 18940-3439
(215) 860-3344

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
006755
PA
363LF0000X
Family Nurse Practitioner
TP005539B
PA

Other

Enumeration date
04/11/2007
Last updated
05/26/2021
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