Fatira Elhadi, PA
Physician Assistant, Medical in East Stroudsburg, PA. Individual provider (NPI-1).
NPI number1902295751
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1902295751
- Entity type
- Individual (NPI-1)
- Name
- Fatira Elhadi
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2015
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 25MP00460900 | NJ | Yes |
| 363A00000X | Physician Assistant | 25MP00460900 | NJ | |
| 363AM0700X | Physician Assistant, Medical | MA052194 | PA |
Practice location
206 E Brown StEast Stroudsburg, PA 18301-3006
Phone 570-476-3367
Mailing address
1788 Big Ridge DrEast Stroudsburg, PA 18302-6642
Phone 484-223-5243
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