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

Eli D Vanditto, RN

Individual provider Registered Nurse · NPI 1336865591

Eli D Vanditto, RN is a Registered Nurse in Philadelphia, Pennsylvania. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1200 Intrepid Ave
Philadelphia, PA 19112-1229
Phone: (208) 818-6229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 53259 (ID)

Record details

NPI number1336865591
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address852 E Shadow Wood Ln, Coeur D Alene, ID 83815-5111

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