Individual
ELISE JOHANSON DOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-2000
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3788
(215) 481-2000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00071401
NJ
367A00000X
Advanced Practice Midwife
MW010570
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW010570
CNM LICENSE
PA
Enumeration date
03/16/2020
Last updated
08/29/2024
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