Provider Demographics
NPI:1871732578
Name:HOBDELL, ELIZABETH F (CRNP, RN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:F
Last Name:HOBDELL
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Gender:F
Credentials:CRNP, RN
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Mailing Address - Street 1:203 FAIRFAX CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5712
Mailing Address - Country:US
Mailing Address - Phone:215-427-5113
Mailing Address - Fax:215-427-4393
Practice Address - Street 1:FRONT STREET AT EERIE AVENUE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1095
Practice Address - Country:US
Practice Address - Phone:215-427-5113
Practice Address - Fax:215-427-4393
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP003353N363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics