Provider Demographics
NPI:1962444968
Name:HARTRANFT, ELISE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:ELISE
Middle Name:
Last Name:HARTRANFT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 C G ZINN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THORNDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19372-1131
Mailing Address - Country:US
Mailing Address - Phone:717-358-1305
Mailing Address - Fax:717-291-9634
Practice Address - Street 1:802 NEW HOLLAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2163
Practice Address - Country:US
Practice Address - Phone:717-358-1305
Practice Address - Fax:717-291-9634
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007568363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA064685NCGMedicare ID - Type Unspecified
PAP73086Medicare UPIN