Individual
ELYSE TEDESCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 LANDINGS DR STE 202, WASHINGTON, PA 15301-9408
(724) 969-0191
Mailing address
80 LANDINGS DR STE 202, WASHINGTON, PA 15301-9408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN624051
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN624051
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126375
CERTIFIED REGISTERED NURSE ANESTHETIST
PA
01
—
RN624051
REGISTERED NURSE LICENSE
PA
Enumeration date
10/24/2019
Last updated
12/26/2019
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