Individual
ELISE ODETTE DUNLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C
Contact information
Practice address
7198 CASTOR AVE STE 200, PHILADELPHIA, PA 19149-1105
(267) 217-3217
Mailing address
7198 CASTOR AVE STE 200, PHILADELPHIA, PA 19149-1105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NPPA068616
PA
363LF0000X
Family Nurse Practitioner
Primary
SP032853
PA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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