Individual
MRS. ELIZABETH A DORN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
743 JEFFERSON AVE, SUITE 104, SCRANTON, PA 18510
(570) 346-4621
(570) 346-5109
Mailing address
743 JEFFERSON AVE, SUITE 104, SCRANTON, PA 18510
(570) 346-4621
(570) 346-5109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN314718L
PA
363L00000X
Nurse Practitioner
SP005776B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018654700006
—
PA
Enumeration date
05/25/2006
Last updated
07/08/2007
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