Elissa Ann Delong
Nurse Practitioner - Women's Health
185 Tilley Dr
South Burlington
, Vermont 05403-4484
Elissa Ann Delong
Nurse Practitioner - Women's Health
185 Tilley Dr
South Burlington
, Vermont 05403-4484
(802) 862-7338
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Elissa Ann Delong
- 185 Tilley Dr
- South Burlington, VT
- Zip : 05403-4484
- Phone : (802) 862-7338
Second Address
- Elissa Ann Delong
- 185 Tilley Dr
- South Burlington, VT
- Zip : 05403-4484
- Phone : (802) 862-7338
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 84801 | OK |
National Provider Identifier
| NPI | 1073924486 |
|---|---|
| Provider Name | Elissa Ann Delong |
| First Address | South Burlington, VT 05403-4484 |
| Second Address | South Burlington, VT 05403-4484 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2014 |
| Last Update Date | 07/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.