Organization
MEDICAL HOUSE CALL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLAH C NOTA CRNP (CERTIFIED REGISTERED NURSE PRACTITI)
(610) 410-9933
Entity
Organization
Contact information
Practice address
27 GLEN RIDDLE RD, MEDIA, PA 19063-5228
(610) 410-9933
(360) 291-7711
Mailing address
27 GLEN RIDDLE RD, MEDIA, PA 19063-5228
(610) 410-9933
(360) 291-7711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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