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

Elise Marie Medina

Individual provider Pediatric Nurse Practitioner · NPI 1134836497

Elise Marie Medina is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022

Practice location Address checks out

3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Phone: (215) 590-1000
Show map & directions

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

Additional practice locations (1)

  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 — (215) 590-1000

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence SP026366 (PA)

Record details

NPI number1134836497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2022
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022

Other providers in Philadelphia