Provider Demographics
NPI:1164610226
Name:GEROCK, ELINOR GRACE (RN)
Entity Type:Individual
Prefix:MS
First Name:ELINOR
Middle Name:GRACE
Last Name:GEROCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-8900
Mailing Address - Country:US
Mailing Address - Phone:717-272-6705
Mailing Address - Fax:
Practice Address - Street 1:320 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-8900
Practice Address - Country:US
Practice Address - Phone:717-272-6705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA234801L163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult