Provider Demographics
NPI:1356033591
Name:STINE, ELLE NOEL (PA-C)
Entity type:Individual
Prefix:
First Name:ELLE
Middle Name:NOEL
Last Name:STINE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2550 MOSSIDE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3514
Mailing Address - Country:US
Mailing Address - Phone:412-457-1100
Mailing Address - Fax:412-457-0250
Practice Address - Street 1:2570 HAYMAKER RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3513
Practice Address - Country:US
Practice Address - Phone:412-457-1100
Practice Address - Fax:412-457-0250
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2024-06-11
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Provider Licenses
StateLicense IDTaxonomies
PAOS006522363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant