Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN R SUPERDOCK, CRNP
ActiveELLEN R SUPERDOCK, CRNP is a Family Nurse Practitioner healthcare provider located in LEBANON, Pennsylvania. NPI 1497306336 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LEBANON, PA
Registration Details
- NPI Number
- 1497306336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2019 (6.7050863209131 yrs)
- Last Updated
- Mar 4, 2021
- License
-
SP020508 (PA)
Practice Information
- Address
-
920 CHURCH STLEBANON, PA, 170464656Browse PA providers · Browse ZIP 17046
- Phone
- 7172722700
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in LEBANON, PA
| Name | Credential | NPI |
|---|---|---|
| MARCIA GRAY | CRNP | 1386636892 |
| BARBARA KRASUSKI | CRNP | 1619962867 |
| MRS. LYDIA EVELYN MURPHY-ALTHOUSE | CRNP | 1487641478 |
| MRS. CATHLEEN A. KIRKPATRICK | CRNP | 1679550719 |
| MARY TIMM HINKLE | CRNP | 1689695033 |
| MRS. CHERYL L GATES | CRNP | 1467565655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.