Individual
ELAINE A LANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP RN
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4426
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN518176L
PA
363L00000X
Nurse Practitioner
Primary
UP005368C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519074
HEALTH AMERICA
PA
Enumeration date
12/28/2005
Last updated
09/17/2019
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