Elliott, Catherine Domanska

Elliott, Catherine Domanska is an individual health care provider with primary practice located at 105 Vineyard Way Ste 200 , West Grove PA 19390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Elliott, Catherine Domanska can be contacted via phone (610) 444-7550.

Contact Information

Primary practice address
105 Vineyard Way Ste 200 West Grove PA 19390
Phone: (610) 444-7550
Fax: (610) 444-4656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP012517 Pennsylvania

Profile Details

NPI number 1275877615
LBN Legal business name Elliott, Catherine Domanska
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2012
Last updated Aug 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275877615 NPPES
Pennsylvania MEDICAID 102783059

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