DR. M. ELAYNE DESIMONE NP NPI 1972574788

NPI Information

  • NPI: 1972574788
  • Provider Name: DR. M. ELAYNE DESIMONE, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 900 WINDING LN
    MEDIA, PA
    ZIP 19063
  • Phone: (610) 892-2888

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NPI Details

DR. M. Elayne Desimone, NP is an adult health nurse practitioner in Media, PA. DR. M. Elayne Desimone, NP NPI is 1972574788. 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:

900 WINDING LN
MEDIA, PA
ZIP 19063-656
Phone: (610) 892-2888

The enumeration date for this NPI number is 1/30/2006 and was last updated on 7/8/2007.

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
1363LA2200XNurse PractitionerAdult HealthF300330-1NEW YORKNo
2363LA2200XNurse PractitionerAdult HealthSP007112PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
190V311MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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: 11/21/2025

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