Individual
ELISA NICOLE KERSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 421-4100
Mailing address
30 LAWRENCE RD STE 700, BROOMALL, PA 19008-3301
(484) 470-6221
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C5-0001099
DE
Other
Enumeration date
10/25/2016
Last updated
11/30/2020
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