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Individual

MRS. ELLAH C. NOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
27 GLEN RIDDLE RD, MEDIA, PA 19063-5228
(610) 410-9933
(360) 291-7711
Mailing address
27 GLEN RIDDLE RD, MEDIA, PA 19063-5228
(610) 410-9933
(360) 291-7711

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
127415
IA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012240
PA

Other

Enumeration date
08/08/2011
Last updated
07/11/2022
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