Individual
CHRISTINE ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 RIDGE VIEW RD, NEW KENSINGTON, PA 15068-8346
(412) 795-8865
Mailing address
113 RIDGE VIEW RD, NEW KENSINGTON, PA 15068-8346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN054446L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN054446L
LPN LICENSE NUMBER
PA
Enumeration date
02/14/2017
Last updated
02/14/2017
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