Individual provider · Type 1 NPI

Elizabeth Mary Dalton, CRNP

Gerontology Nurse Practitioner · Philadelphia, PA

NPI number 1114186723 Active

Practice location

4508 Chestnut St
Philadelphia, PA 19139-3608

Fax (215) 746-2149

Mailing address

421 W State St Apt 202
Media, PA 19063-2626

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XSP007691 (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114186723

Elizabeth Mary Dalton, CRNP's National Provider Identifier is 1114186723, issued on Jun 9, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 9, 2008.