Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Provider Management, LLC

Organization Nurse Practitioner · NPI 1063075919

Elite Provider Management, LLC is a Nurse Practitioner in Lansdowne, Pennsylvania. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

941 Church Ln
Lansdowne, PA 19050
Phone: (484) 855-3142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2417 Welsh Rd, Philadelphia, PA 19114-2213 — (484) 403-1097

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1063075919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Cuttino — Co-Owner · (484) 855-3142
NPI enumeratedApril 16, 2019
Last updated in NPPESAugust 6, 2019
Mailing address941 Church Ln, Lansdowne, PA 19050-3725