Provider Demographics
NPI:1396909305
Name:FLOOD, ELAINE DEROSA (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:DEROSA
Last Name:FLOOD
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:THERESA
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1201 LANGHORNE NEWTOWN RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1295
Mailing Address - Country:US
Mailing Address - Phone:215-710-5608
Mailing Address - Fax:215-710-2515
Practice Address - Street 1:1201 LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1201
Practice Address - Country:US
Practice Address - Phone:215-710-5104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATPOO5112-C363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care