Individual provider · Type 1 NPI

Ellen R. Superdock, CRNP

Family Nurse Practitioner · Lebanon, PA

NPI number 1497306336 Active

Practice location

920 Church St
Lebanon, PA 17046-4656

Mailing address

304 N Water St
Lancaster, PA 17603-3374

Other practice locations

  • 435 S Kinzer Ave Ste 6, New Holland, PA 17557-8706 · (717) 351-2400

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP020508 (PA)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1497306336

Ellen R. Superdock, CRNP's National Provider Identifier is 1497306336, issued on Sep 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lebanon, PA. The record was last updated on Mar 4, 2021.