ELAINE JUSTINE WALSH CRNP NPI 1043429590

NPI Information

NPI: 1043429590
Provider Name: ELAINE JUSTINE WALSH, CRNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: VIRTUA MEDICAL GROUP, PA

PECOS Registration: Yes

Address:
3400 SPRUCE ST
1 WEST GATES
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2730
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Elaine Justine Walsh, CRNP is an obstetrics and gynecology nurse practitioner in Philadelphia, PA with 21 years of experience. Elaine Justine Walsh, CRNP NPI is 1043429590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SPRUCE ST
1 WEST GATES
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-2730

The NPI 1043429590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 10/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	SP007961	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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