Organization
ELIDEN HEALTHCARE AGENCY LLC
Active
Organization
ELIDEN HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA DENNIS NURSE PRACTITIONER (OWNER)
(215) 910-9003
Entity
Organization
Contact information
Practice address
674 GORDON HOUSE WAY, MIDDLETOWN, DE 19709-9975
(215) 910-9003
Mailing address
674 GORDON HOUSE WAY, MIDDLETOWN, DE 19709-9975
(215) 910-9003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AN-0026068
ADVANCED PRACTICE RN CSR
DE
01
—
F08210019
PROFESSIONAL LICENSE
PA
01
—
LG-0012221
PROFESSIONAL LICENSE
DE
Enumeration date
11/06/2024
Last updated
08/07/2026
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