ELISA NICOLE KERSHAW PA-C NPI 1124570171

NPI Information

NPI: 1124570171
Provider Name: ELISA NICOLE KERSHAW, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PROSPECT HEALTH ACCESS NETWORK INC

PECOS Registration: Yes

Address:
701 N CLAYTON ST
WILMINGTON, DE
ZIP 19805
Phone: (302) 421-4100
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Elisa Nicole Kershaw, PA-C is a surgical physician assistant in Wilmington, DE with 8 years of experience. Elisa Nicole Kershaw, PA-C NPI is 1124570171. 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:

701 N CLAYTON ST
WILMINGTON, DE
ZIP 19805-165
Phone: (302) 421-4100

The NPI 1124570171 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 10/25/2016 and was last updated on 11/30/2020.

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	363AS0400X	Physician Assistant	Surgical	C5-0001099	DELAWARE	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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