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Individual

ELISSA R RHED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7100
(814) 272-6501
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010602
PA
363LF0000X
Family Nurse Practitioner
SP010602
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024169673
VA MEDICAL LICENSE
VA
Enumeration date
12/30/2009
Last updated
08/06/2020
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