Individual
ELAINE ISABEL MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
207 W FULTON ST, EPHRATA, PA 17522-1902
(717) 721-8789
(717) 715-1360
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 721-8789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063898
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2022
Last updated
10/19/2022
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