Individual
ELENA DETARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1776 E LANCASTER AVE, PAOLI, PA 19301-1550
(610) 647-4366
Mailing address
1 BROWN ST UNIT 1621, PHILADELPHIA, PA 19123-3356
(201) 407-8086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017498
PA
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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