Individual
DR. M. ELAYNE DESIMONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 WINDING LN, MEDIA, PA 19063-1656
(610) 892-2888
Mailing address
900 WINDING LN, MEDIA, PA 19063-1656
(610) 892-2888
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F300330-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007112
PA
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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