ELLEN R SUPERDOCK

LEBANON, PA
NPI1497306336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP020508)
Enumeration Date2019-09-23
Last Update Date2021-03-04
Business Address
ELLEN R SUPERDOCK CRNP
920 CHURCH ST
LEBANON, PA 17046-4656
Phone number: 717-272-2700
Mailing Address
ELLEN R SUPERDOCK CRNP
304 N WATER ST
LANCASTER, PA 17603-3374
Phone number: 717-735-6808