MR. DANE ELLIOT MENKIN CRNP NPI 1558509430

NPI Information

NPI: 1558509430
Provider Name: MR. DANE ELLIOT MENKIN, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MAIN LINE HEALTHCARE

PECOS Registration: Yes

Address:
135 S BRYN MAWR AVE STE 200
BRYN MAWR, PA
ZIP 19010
Phone: (610) 325-1390
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MR. Dane Elliot Menkin, CRNP is a family nurse practitioner in Bryn Mawr, PA with 15 years of experience. MR. Dane Elliot Menkin, CRNP NPI is 1558509430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

135 S BRYN MAWR AVE STE 200
BRYN MAWR, PA
ZIP 19010-129
Phone: (610) 325-1390
Fax: (610) 325-1373

The NPI 1558509430 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 1/30/2009 and was last updated on 3/25/2020.

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	363LF0000X	Nurse Practitioner	Family	SP010103	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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