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

Ellen R Superdock, CRNP

Individual provider Family Nurse Practitioner · NPI 1497306336

Ellen R Superdock, CRNP is a Family Nurse Practitioner in Lebanon, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

920 Church St
Lebanon, PA 17046-4656
Phone: (717) 272-2700
Show map & directions

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

Additional practice locations (1)

  • 435 S Kinzer Ave Ste 6, New Holland, PA 17557-8706 — (717) 351-2400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP020508 (PA)

Record details

NPI number1497306336
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing address304 N Water St, Lancaster, PA 17603-3374

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