Elisa Marie Dennis
Early Intervention Provider Agency in Scranton, PA. Individual provider (NPI-1).
NPI number1689428484
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1689428484
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elisa Marie Dennis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Other names
- Elisa Marie Damiani (Former Name)
Practice location
116 Larch St Fl 3Scranton, PA 18509-2802
Phone 570-489-5561
Mailing address
627 Main StDickson City, PA 18519-1525
Phone 570-766-1043
Is something wrong?
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