Individual
SANDRA ELLEN PELLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Contact information
Practice address
255 W LANCASTER AVE STE 200, PAOLI, PA 19301-1763
(914) 519-8110
Mailing address
212 COBBLESTONE DR, ARDMORE, PA 19003-1241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
714717
NY
163W00000X
Registered Nurse
741763
PA
363LA2100X
Acute Care Nurse Practitioner
F431792
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
SP023737
PA
Other
Enumeration date
08/04/2021
Last updated
07/26/2023
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