Vincent L Di Antonio, RN, CRNP, PMHNP-BC | |
400 W Lancaster Ave, Devon, PA 19333-1531 | |
(610) 999-6414 | |
Not Available |
Full Name | Vincent L Di Antonio |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 400 W Lancaster Ave, Devon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396497475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP026135 (Pennsylvania) | Primary |
Entity Name | 2 Crows Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134789662 PECOS PAC ID: 0244652279 Enrollment ID: O20200622000933 |
Mailing Address | Practice Location Address |
---|---|
Vincent L Di Antonio, RN, CRNP, PMHNP-BC 400 W Lancaster Ave Ste 300, Devon, PA 19333-1531 Ph: (610) 999-6414 | Vincent L Di Antonio, RN, CRNP, PMHNP-BC 400 W Lancaster Ave, Devon, PA 19333-1531 Ph: (610) 999-6414 |
Wonhee Park, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Avon Rd Apt I 463, Devon, PA 19333 Phone: 484-919-5199 | |
Jayavantika Rohan Mirchandani, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 W Lancaster Ave, Devon, PA 19333 Phone: 484-551-3366 | |
Mr. Kevin William Keane, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 W Lancaster Ave, Devon, PA 19333 Phone: 610-999-6414 | |
Therese Narzikul, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Millbrook Rd, Devon, PA 19333 Phone: 610-687-5117 | |
Francis Elochukwu Okafor, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 W Lancaster Ave, Devon, PA 19333 Phone: 484-551-3366 | |
Kellie H Booth, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Lancaster Ave, Devon, PA 19333 Phone: 610-851-4800 |