Ms. Eleanor Lynn Vanderklok
Nurse Practitioner - Adult Health
925 Chestnut St Suite 320a
Philadelphia
, Pennsylvania 19107-4216
Ms. Eleanor Lynn Vanderklok
Nurse Practitioner - Adult Health
925 Chestnut St Suite 320a
Philadelphia
, Pennsylvania 19107-4216
(215) 955-8874
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Ms. Eleanor Lynn Vanderklok
- 925 Chestnut St Suite 320a
- Philadelphia, PA
- Zip : 19107-4216
- Phone : (215) 955-8874
Second Address
- Ms. Eleanor Lynn Vanderklok
- 925 Chestnut St Suite 320a
- Philadelphia, PA
- Zip : 19107-4216
- Phone : (215) 955-8874
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | SP010656 | PA |
National Provider Identifier
| NPI | 1013222413 |
|---|---|
| Provider Name | Ms. Eleanor Lynn Vanderklok |
| First Address | Philadelphia, PA 19107-4216 |
| Second Address | Philadelphia, PA 19107-4216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2010 |
| Last Update Date | 18/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102894693 | (05) | PA |
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.