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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
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F08210019
PROFESSIONAL LICENSE
PA
Enumeration date
11/06/2024
Last updated
11/06/2024
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform