Individual provider · Type 1 NPI

Elisa Nicole Kershaw, PA-C

Surgical Physician Assistant · Wilmington, DE

NPI number 1124570171 Active

Practice location

701 N Clayton St
Wilmington, DE 19805-3165

Mailing address

30 Lawrence Rd Ste 700
Broomall, PA 19008-3301

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC5-0001099 (DE)

Surgical Physician Assistant: Definition to come...

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About NPI 1124570171

Elisa Nicole Kershaw, PA-C's National Provider Identifier is 1124570171, issued on Oct 25, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wilmington, DE. The record was last updated on Nov 30, 2020.