Individual
MISS ELLIANNE MARIE NASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 885-7142
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006219
PA
213EP0504X
Public Medicine Podiatrist
SC006219
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006219
PA
213ER0200X
Radiology Podiatrist
SC006219
PA
213ES0000X
Sports Medicine Podiatrist
SC006219
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006219
PA
213ES0131X
Foot Surgery Podiatrist
SC006219
PA
Other
Enumeration date
07/30/2010
Last updated
08/13/2020
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