Individual provider · Type 1 NPI

Elena Detaranto, FNP

Family Nurse Practitioner · Paoli, PA

NPI number 1235659020 Active

Practice location

1776 E Lancaster Ave
Paoli, PA 19301-1550

Mailing address

1 Brown St Unit 1621
Philadelphia, PA 19123-3356

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP017498 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1235659020

Elena Detaranto, FNP's National Provider Identifier is 1235659020, issued on Jun 22, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Paoli, PA. The record was last updated on Jun 22, 2017.