Individual
ELISE NONNENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 CLARION DR, SOUDERTON, PA 18964-1052
(215) 767-3085
Mailing address
102 CLARION DR, SOUDERTON, PA 18964-1052
(215) 767-3085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821458092
COMMERCIAL INSURANCE
—
Enumeration date
04/23/2019
Last updated
06/11/2019
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