Individual
MR. DANE ELLIOT MENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
120 VALLEY GREEN LN STE 510, KING OF PRUSSIA, PA 19406-2080
(610) 484-7100
(484) 324-7660
Mailing address
135 S BRYN MAWR AVE STE 200, BRYN MAWR, PA 19010-3129
(610) 325-1390
(610) 325-1373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010103
PA
363LF0000X
Family Nurse Practitioner
SP010103
PA
Other
Enumeration date
01/30/2009
Last updated
01/04/2026
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