| Minuteclinic Diagnostic Of Pennsylvania Llc | |
|
1218 E Lancaster Ave Bryn Mawr PA 19010-2616 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Minuteclinic Diagnostic Of Pennsylvania Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1218 E Lancaster Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Of Pennsylvania Llc Po Box 772 Minuteclinic Credentialing-mc2295 Woonsocket RI 02895-0784 Ph: (401) 770-3813 | Minuteclinic Diagnostic Of Pennsylvania Llc 1218 E Lancaster Ave Bryn Mawr PA 19010-2616 Ph: (866) 389-2727 |
| NPI Number | 1881738037 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 5395827307 |
|---|---|
| Medicare Enrollment ID | O20080130000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881738037 | NPI | - | NPPES |
| DO3508 | Other | PA | MEDICARE RAILROAD |
| Provider Name | Frances E Burkholder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982661856 PECOS PAC ID: 3779505094 Enrollment ID: I20051229000389 |
| Provider Name | Adrianna Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871701995 PECOS PAC ID: 7618982224 Enrollment ID: I20060217000131 |
| Provider Name | Jessica A Spagnolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851579833 PECOS PAC ID: 6901989888 Enrollment ID: I20080215000253 |
| Provider Name | Tara L Emph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225234677 PECOS PAC ID: 3577640317 Enrollment ID: I20080404000047 |
| Provider Name | Alexander J Anetakis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003842220 PECOS PAC ID: 7214910140 Enrollment ID: I20080610000141 |
| Provider Name | Felicia N Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699922765 PECOS PAC ID: 2961560354 Enrollment ID: I20081029000673 |
| Provider Name | Suzanne Marie Dugita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508014655 PECOS PAC ID: 8426110073 Enrollment ID: I20081216000667 |
| Provider Name | Amy Lyn Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740433572 PECOS PAC ID: 0840355699 Enrollment ID: I20090211000714 |
| Provider Name | Joey L Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467634824 PECOS PAC ID: 3577629377 Enrollment ID: I20090303000382 |
| Provider Name | Robin Elizabeth Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164624136 PECOS PAC ID: 0941367692 Enrollment ID: I20090324000435 |
| Provider Name | Theresa L Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013190974 PECOS PAC ID: 4082761366 Enrollment ID: I20090403000169 |
| Provider Name | Jenny Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124294558 PECOS PAC ID: 0244308054 Enrollment ID: I20091020000565 |
| Provider Name | Jessy T Pattaniyil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780827816 PECOS PAC ID: 6507904083 Enrollment ID: I20091104000299 |
| Provider Name | Louise G Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154651883 PECOS PAC ID: 4486798501 Enrollment ID: I20100212000430 |
| Provider Name | Julie R Heidrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952630915 PECOS PAC ID: 1658415617 Enrollment ID: I20100215000739 |
| Provider Name | Sophia Fokas-kligos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811227275 PECOS PAC ID: 4587709936 Enrollment ID: I20100504000319 |
| Provider Name | Kristin L Disanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457678104 PECOS PAC ID: 9133313067 Enrollment ID: I20101104000303 |
| Provider Name | Kristina H Attryde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992945034 PECOS PAC ID: 7618156399 Enrollment ID: I20110127000096 |
| Provider Name | Kimberly K Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154622306 PECOS PAC ID: 9537341946 Enrollment ID: I20110307000498 |
| Provider Name | Luz Gomez-casseres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063715654 PECOS PAC ID: 2668658709 Enrollment ID: I20110525000375 |
| Provider Name | Susan Siegelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932349529 PECOS PAC ID: 3476730086 Enrollment ID: I20110608000445 |
| Provider Name | Sheryle D Wellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548224918 PECOS PAC ID: 1456391424 Enrollment ID: I20111004000231 |
| Provider Name | Jessica Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316228646 PECOS PAC ID: 0143492934 Enrollment ID: I20111021000157 |
| Provider Name | Jeannie K Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952516858 PECOS PAC ID: 5395918692 Enrollment ID: I20111102000281 |
| Provider Name | Dana L Reeher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770800229 PECOS PAC ID: 6305010471 Enrollment ID: I20111130000031 |
| Provider Name | Snezhana Blazhko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346521721 PECOS PAC ID: 1658545611 Enrollment ID: I20111201000241 |
| Provider Name | Theresa E Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558674598 PECOS PAC ID: 0143488916 Enrollment ID: I20120224000415 |
| Provider Name | Amy J Pence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477824217 PECOS PAC ID: 1153589791 Enrollment ID: I20120228000501 |
| Provider Name | Rachel E Roettger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871866574 PECOS PAC ID: 6608036439 Enrollment ID: I20120402000078 |
| Provider Name | Margaret L Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982977252 PECOS PAC ID: 7517128713 Enrollment ID: I20120416000507 |
| Provider Name | Luna Metayer Belizaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275899767 PECOS PAC ID: 7315102605 Enrollment ID: I20120712000309 |
| Provider Name | Mary A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336402866 PECOS PAC ID: 7810143922 Enrollment ID: I20120806000434 |
| Provider Name | Myanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235495276 PECOS PAC ID: 5193972461 Enrollment ID: I20120822000445 |
| Provider Name | Lori Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356694285 PECOS PAC ID: 6901057504 Enrollment ID: I20121107000583 |
| Provider Name | Rachael Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184964447 PECOS PAC ID: 7810133527 Enrollment ID: I20130425000529 |
| Provider Name | Maldalena Patrice Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905014 PECOS PAC ID: 8325285364 Enrollment ID: I20130510000006 |
| Provider Name | Marybeth Rizzo-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902072010 PECOS PAC ID: 0244478287 Enrollment ID: I20130603000181 |
| Provider Name | Donna L Surjnarine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538502422 PECOS PAC ID: 6406095884 Enrollment ID: I20130614000418 |
| Provider Name | Allison M Paisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891132726 PECOS PAC ID: 7618119553 Enrollment ID: I20130806000554 |
| Provider Name | Kimberly M Kurtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881033884 PECOS PAC ID: 2466696992 Enrollment ID: I20130923000605 |
| Provider Name | Megan A Guinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326480104 PECOS PAC ID: 5496989824 Enrollment ID: I20131017001661 |
| Provider Name | Chelsey L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275979791 PECOS PAC ID: 8628206224 Enrollment ID: I20140103001149 |
| Provider Name | Seth Astorino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255762365 PECOS PAC ID: 1254560998 Enrollment ID: I20140129001513 |
| Provider Name | Mariah Lynn Stehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730510298 PECOS PAC ID: 9931330511 Enrollment ID: I20140325000013 |
| Provider Name | Stacie M Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134545692 PECOS PAC ID: 2163645441 Enrollment ID: I20140514002050 |
| Provider Name | Stacey M Spahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447676168 PECOS PAC ID: 7113140815 Enrollment ID: I20140528000405 |
| Provider Name | Allyson N Snik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936621 PECOS PAC ID: 9537382940 Enrollment ID: I20140603000486 |
| Provider Name | Carlie A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184981755 PECOS PAC ID: 4385809318 Enrollment ID: I20140624001096 |
| Provider Name | Sun L Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104245273 PECOS PAC ID: 1850518036 Enrollment ID: I20140812001386 |
| Provider Name | Jessica A Glessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619380128 PECOS PAC ID: 3577781418 Enrollment ID: I20140905001569 |
| Provider Name | Sandra Dormeus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104230267 PECOS PAC ID: 7719105691 Enrollment ID: I20140908000607 |
| Provider Name | Alexis C Oskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205244696 PECOS PAC ID: 7618197443 Enrollment ID: I20140930001035 |
| Provider Name | Justina A Momah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336372309 PECOS PAC ID: 0446490635 Enrollment ID: I20141020002004 |
| Provider Name | Jennifer Beth Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538499710 PECOS PAC ID: 1557683638 Enrollment ID: I20141126001104 |
| Provider Name | Ayla L Braley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467856591 PECOS PAC ID: 1355663303 Enrollment ID: I20141203000784 |
| Provider Name | Mary T Palovcak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699170787 PECOS PAC ID: 1355349614 Enrollment ID: I20141209001136 |
| Provider Name | Sandra Federo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447382270 PECOS PAC ID: 8820311012 Enrollment ID: I20141218002118 |
| Provider Name | Natasha Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194166355 PECOS PAC ID: 2264757277 Enrollment ID: I20150216001514 |
| Provider Name | Allison A Hartranft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932590718 PECOS PAC ID: 9638497076 Enrollment ID: I20150414002077 |
| Provider Name | Emmanuel S Ekwere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013339886 PECOS PAC ID: 4486974516 Enrollment ID: I20150513001239 |
| Provider Name | Melissa S Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740675008 PECOS PAC ID: 6305167669 Enrollment ID: I20150611002188 |
| Provider Name | Jorjette M Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063796712 PECOS PAC ID: 1658685524 Enrollment ID: I20150805008795 |
| Provider Name | Danielle M Grande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457734592 PECOS PAC ID: 2961718721 Enrollment ID: I20150825004242 |
| Provider Name | Shannon B Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356717607 PECOS PAC ID: 2062729189 Enrollment ID: I20150922000484 |
| Provider Name | Erin E Lofink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487030920 PECOS PAC ID: 7810205572 Enrollment ID: I20150929002070 |
| Provider Name | Sharon M Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902272719 PECOS PAC ID: 3173831484 Enrollment ID: I20151007001194 |
| Provider Name | Jessica R Clabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609242387 PECOS PAC ID: 4284943218 Enrollment ID: I20151014001346 |
| Provider Name | Kelly A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356710941 PECOS PAC ID: 4486954112 Enrollment ID: I20151201002466 |
| Provider Name | T K Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518343052 PECOS PAC ID: 4183924822 Enrollment ID: I20151201002692 |
| Provider Name | Lucile Thelusmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881910354 PECOS PAC ID: 8921300757 Enrollment ID: I20160111001027 |
| Provider Name | Shradhdha Y Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194099283 PECOS PAC ID: 3173826658 Enrollment ID: I20160115000629 |
| Provider Name | Suzanne M Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548662356 PECOS PAC ID: 6103129572 Enrollment ID: I20160119000544 |
| Provider Name | Ashley Vecchiolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760762322 PECOS PAC ID: 4587830278 Enrollment ID: I20160316001869 |
| Provider Name | Amy E Snedigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447498704 PECOS PAC ID: 5193853398 Enrollment ID: I20160331000210 |
| Provider Name | David N Summerall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184098626 PECOS PAC ID: 3274830294 Enrollment ID: I20160411000746 |
| Provider Name | Sami L Ingros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712762 PECOS PAC ID: 6608166996 Enrollment ID: I20160527000044 |
| Provider Name | Diana Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356673743 PECOS PAC ID: 4981731338 Enrollment ID: I20160809001547 |
| Provider Name | Lindsay Mulhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295189710 PECOS PAC ID: 6305130618 Enrollment ID: I20160810000020 |
| Provider Name | Ashley M Ard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902257363 PECOS PAC ID: 8527355452 Enrollment ID: I20160921000819 |
| Provider Name | Leslie Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720360746 PECOS PAC ID: 5294909669 Enrollment ID: I20170104001392 |
| Provider Name | Jade Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891153235 PECOS PAC ID: 6305128877 Enrollment ID: I20170117002183 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20170119000176 |
| Provider Name | Stacey L Basta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770533663 PECOS PAC ID: 4688671969 Enrollment ID: I20170125002116 |
| Provider Name | Maria C Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598200875 PECOS PAC ID: 4981989381 Enrollment ID: I20170328000405 |
| Provider Name | Cheyenne P Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386047785 PECOS PAC ID: 1557680311 Enrollment ID: I20170509000147 |
| Provider Name | Amanda Nuzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750824595 PECOS PAC ID: 0143507764 Enrollment ID: I20170509002443 |
| Provider Name | Diane Peng Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487189056 PECOS PAC ID: 7618244617 Enrollment ID: I20170523001166 |
| Provider Name | Lauren Margaret Bruneio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689112054 PECOS PAC ID: 1759658123 Enrollment ID: I20170606003039 |
| Provider Name | Gina L Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992230304 PECOS PAC ID: 2163791583 Enrollment ID: I20170628001705 |
| Provider Name | Alicia J Bonsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164956587 PECOS PAC ID: 7113296260 Enrollment ID: I20170705000500 |
| Provider Name | April N Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316485055 PECOS PAC ID: 5597035261 Enrollment ID: I20170728000562 |
| Provider Name | Sandra A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023550068 PECOS PAC ID: 0042583320 Enrollment ID: I20170908000126 |
| Provider Name | Maureen P Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205324 PECOS PAC ID: 2466719844 Enrollment ID: I20171121001092 |
| Provider Name | Lauren Ashline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033513585 PECOS PAC ID: 8921317389 Enrollment ID: I20180117002638 |
| Provider Name | Catherine E Dimotsis-schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993893 PECOS PAC ID: 3173882172 Enrollment ID: I20180122000161 |
| Provider Name | Jennifer A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043727829 PECOS PAC ID: 4284994955 Enrollment ID: I20180129002460 |
| Provider Name | Amy Anne Colucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619486966 PECOS PAC ID: 5698035228 Enrollment ID: I20180130002781 |
| Provider Name | Laura P Neufeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487166617 PECOS PAC ID: 5799045290 Enrollment ID: I20180201000078 |
| Provider Name | Stephanie A Chupinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697533 PECOS PAC ID: 6406117225 Enrollment ID: I20180219001109 |
| Provider Name | Jennifer Frances Cacciatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073028254 PECOS PAC ID: 7416218060 Enrollment ID: I20180223000218 |
| Provider Name | Cynthia Ann Chuzie-mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255889481 PECOS PAC ID: 5294096723 Enrollment ID: I20180226001882 |
| Provider Name | Colleen Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720583214 PECOS PAC ID: 8022371673 Enrollment ID: I20180412000064 |
| Provider Name | Terry-ann Natalee Levy-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932446192 PECOS PAC ID: 1759637630 Enrollment ID: I20180706001753 |
| Provider Name | Yamile Cuevas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245729854 PECOS PAC ID: 0143576926 Enrollment ID: I20180710000357 |
| Provider Name | Meiru Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659878387 PECOS PAC ID: 4587912340 Enrollment ID: I20180810000149 |
| Provider Name | Amber Grinnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083089783 PECOS PAC ID: 8921356643 Enrollment ID: I20180813000143 |
| Provider Name | Linju L Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326536640 PECOS PAC ID: 6103175641 Enrollment ID: I20180816002814 |
| Provider Name | Hryhory Yakymiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043706880 PECOS PAC ID: 7012266034 Enrollment ID: I20180823001672 |
| Provider Name | Kimberly A Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245717438 PECOS PAC ID: 5698026474 Enrollment ID: I20180918000732 |
| Provider Name | Chelsea N Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496181 PECOS PAC ID: 8224381041 Enrollment ID: I20181024003023 |
| Provider Name | Megan E Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164998738 PECOS PAC ID: 8729332341 Enrollment ID: I20181119001666 |
| Provider Name | Thomas D Culley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609341528 PECOS PAC ID: 7214272418 Enrollment ID: I20181217001198 |
| Provider Name | Shavon Nate Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568943686 PECOS PAC ID: 2668718560 Enrollment ID: I20190115000357 |
| Provider Name | Chayna Hardy-reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508331778 PECOS PAC ID: 9133465057 Enrollment ID: I20190115001166 |
| Provider Name | Melissa A Malepati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356777262 PECOS PAC ID: 4082835939 Enrollment ID: I20190401000350 |
| Provider Name | Tressa J Silberberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649744681 PECOS PAC ID: 4284975715 Enrollment ID: I20190411000233 |
| Provider Name | Kanokwan Seeleang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306166335 PECOS PAC ID: 3274811989 Enrollment ID: I20190412000060 |
| Provider Name | Linda Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487995494 PECOS PAC ID: 8820385396 Enrollment ID: I20190415000344 |
| Provider Name | Sean D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360664 PECOS PAC ID: 6507107760 Enrollment ID: I20190416002705 |
| Provider Name | Alyssa Marie Micken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841759693 PECOS PAC ID: 6103151790 Enrollment ID: I20190718003143 |
| Provider Name | Sarah L Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619477759 PECOS PAC ID: 4486980893 Enrollment ID: I20190723002463 |
| Provider Name | Daniel Rybalov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588228571 PECOS PAC ID: 2961738042 Enrollment ID: I20190726001958 |
| Provider Name | Roberta Ann Humble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376991638 PECOS PAC ID: 9830483890 Enrollment ID: I20190814000153 |
| Provider Name | Abby D Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134608755 PECOS PAC ID: 5092069724 Enrollment ID: I20190827000591 |
| Provider Name | Deanne Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952803041 PECOS PAC ID: 8325377781 Enrollment ID: I20190910001967 |
| Provider Name | Kimberli M Brawner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487928842 PECOS PAC ID: 5597095562 Enrollment ID: I20190918002024 |
| Provider Name | Erin Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497229017 PECOS PAC ID: 1951631324 Enrollment ID: I20190927000527 |
| Provider Name | Samantha M Federo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902455520 PECOS PAC ID: 2264865435 Enrollment ID: I20191202000026 |
| Provider Name | Samantha Maize |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588208714 PECOS PAC ID: 8325472335 Enrollment ID: I20191230000291 |
| Provider Name | Barbara A Saba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114698 PECOS PAC ID: 8820423007 Enrollment ID: I20200116000105 |
| Provider Name | Denise Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811219520 PECOS PAC ID: 1052746039 Enrollment ID: I20200122000290 |
| Provider Name | Madeline Saxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538707815 PECOS PAC ID: 5597191510 Enrollment ID: I20200210002490 |
| Provider Name | Navandeep K Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740843564 PECOS PAC ID: 6709214273 Enrollment ID: I20200316001395 |
| Provider Name | Disha Kalaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215569322 PECOS PAC ID: 2365871779 Enrollment ID: I20200407000794 |
| Provider Name | Xavier A Thum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588296511 PECOS PAC ID: 1557791811 Enrollment ID: I20200429000334 |
| Provider Name | Navpreet Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568081008 PECOS PAC ID: 9638592660 Enrollment ID: I20200709002954 |
| Provider Name | Kelsey Lynn Hamill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831725407 PECOS PAC ID: 8921424177 Enrollment ID: I20200818002954 |
| Provider Name | Brittany Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902450463 PECOS PAC ID: 0941628366 Enrollment ID: I20200917001202 |
| Provider Name | Julie Lovinka Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356950208 PECOS PAC ID: 6507286382 Enrollment ID: I20201016000067 |
| Provider Name | Daniel Bassi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546668 PECOS PAC ID: 9931519113 Enrollment ID: I20201028002379 |
| Provider Name | Angela Saathoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265732515 PECOS PAC ID: 4284812181 Enrollment ID: I20201104003130 |
| Provider Name | Hong Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205466539 PECOS PAC ID: 6709296510 Enrollment ID: I20201106000949 |
| Provider Name | Karen Schloeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194337733 PECOS PAC ID: 1557771169 Enrollment ID: I20201111001091 |
| Provider Name | Alberta James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629680020 PECOS PAC ID: 4789095720 Enrollment ID: I20201124001741 |
| Provider Name | Amanda G Coltura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902436132 PECOS PAC ID: 4082025788 Enrollment ID: I20201202001047 |
| Provider Name | Sailaja Ravilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326601501 PECOS PAC ID: 5294147724 Enrollment ID: I20201207002282 |
| Provider Name | Brooke A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366038424 PECOS PAC ID: 2860804762 Enrollment ID: I20201217002489 |
| Provider Name | Alexandra Gericke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184236085 PECOS PAC ID: 6406268242 Enrollment ID: I20201218001616 |
| Provider Name | Tara Pierami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831796903 PECOS PAC ID: 1557774981 Enrollment ID: I20210104001502 |
| Provider Name | Vanessa A Kitchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487260857 PECOS PAC ID: 7113330358 Enrollment ID: I20210108000345 |
| Provider Name | Linda Vu Van |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790321420 PECOS PAC ID: 4981017076 Enrollment ID: I20210111000483 |
| Provider Name | Stephanie M Patalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568060713 PECOS PAC ID: 5193138204 Enrollment ID: I20210111001310 |
| Provider Name | Gayle Dipretoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114269602 PECOS PAC ID: 1951714989 Enrollment ID: I20210111002621 |
| Provider Name | Patrick Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255930129 PECOS PAC ID: 3072927391 Enrollment ID: I20210128000930 |
| Provider Name | Morgan L Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306447651 PECOS PAC ID: 3971917741 Enrollment ID: I20210208000888 |
| Provider Name | Monica Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699379784 PECOS PAC ID: 7315352010 Enrollment ID: I20210215000254 |
| Provider Name | Thomas Godfrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700172624 PECOS PAC ID: 0042625543 Enrollment ID: I20210216000463 |
| Provider Name | Jessica Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376180588 PECOS PAC ID: 3779998141 Enrollment ID: I20210217000138 |
| Provider Name | Sierra Nicole Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881207280 PECOS PAC ID: 9931514916 Enrollment ID: I20210225001289 |
| Provider Name | Valerie L Belmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659970739 PECOS PAC ID: 7517372592 Enrollment ID: I20210225001556 |
| Provider Name | Mini D Koshy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316552706 PECOS PAC ID: 3072929967 Enrollment ID: I20210301000624 |
| Provider Name | Christine W Mcvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275130288 PECOS PAC ID: 0941616833 Enrollment ID: I20210301000774 |
| Provider Name | Amy Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114523883 PECOS PAC ID: 1052727955 Enrollment ID: I20210301001110 |
| Provider Name | Amber Schellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255929485 PECOS PAC ID: 5890101349 Enrollment ID: I20210308000861 |
| Provider Name | Macey N Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508471962 PECOS PAC ID: 5496161887 Enrollment ID: I20210310000071 |
| Provider Name | Vanessa Homicil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306242334 PECOS PAC ID: 8527476522 Enrollment ID: I20210412001505 |
| Provider Name | Anthony Steidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518553262 PECOS PAC ID: 7416365333 Enrollment ID: I20210414001237 |
| Provider Name | Haley Brophy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770191322 PECOS PAC ID: 8426466855 Enrollment ID: I20210422002665 |
| Provider Name | Lynne A Cipriani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063019974 PECOS PAC ID: 1456760628 Enrollment ID: I20210429002845 |
| Provider Name | Jennifer Orlic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720669567 PECOS PAC ID: 3779984000 Enrollment ID: I20210624001178 |
| Provider Name | Lindsay Ziegler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164006110 PECOS PAC ID: 2860893518 Enrollment ID: I20210701001575 |
| Provider Name | Rebekah Laughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477035756 PECOS PAC ID: 1153723044 Enrollment ID: I20210715000293 |
| Provider Name | Renee C Karas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609442110 PECOS PAC ID: 5496150823 Enrollment ID: I20210824001965 |
| Provider Name | Joshua A Krosskove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972197184 PECOS PAC ID: 6002213055 Enrollment ID: I20210920000031 |
| Provider Name | Ashley E Gehlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710651831 PECOS PAC ID: 8527465749 Enrollment ID: I20210930000337 |
| Provider Name | Nathan P King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548934128 PECOS PAC ID: 5092113266 Enrollment ID: I20211004000477 |
| Provider Name | Andrea Marcolla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487044566 PECOS PAC ID: 6002214624 Enrollment ID: I20211013000849 |
| Provider Name | Kimberly Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942973854 PECOS PAC ID: 2466841606 Enrollment ID: I20211110001519 |
| Provider Name | Rewa A Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595416 PECOS PAC ID: 2264729953 Enrollment ID: I20211110001813 |
| Provider Name | Jenna L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235806787 PECOS PAC ID: 6709276074 Enrollment ID: I20211130001170 |
| Provider Name | Megan Ebright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588987523 PECOS PAC ID: 7214327246 Enrollment ID: I20211207001497 |
| Provider Name | Kathleen Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932704236 PECOS PAC ID: 8224428172 Enrollment ID: I20211208000671 |
| Provider Name | Jessicia Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192720 PECOS PAC ID: 7517357130 Enrollment ID: I20211214000283 |
| Provider Name | Latifah Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114514882 PECOS PAC ID: 2567852197 Enrollment ID: I20211214000524 |
| Provider Name | Lori Zaspel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164193660 PECOS PAC ID: 7911398425 Enrollment ID: I20211216002067 |
| Provider Name | Monique Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477229110 PECOS PAC ID: 4587055942 Enrollment ID: I20211220002368 |
| Provider Name | Christine Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871267831 PECOS PAC ID: 6800287970 Enrollment ID: I20211228000618 |
| Provider Name | Lianna Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689330383 PECOS PAC ID: 0547651531 Enrollment ID: I20211230000862 |
| Provider Name | Natasha N Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417443664 PECOS PAC ID: 0749672087 Enrollment ID: I20220119002002 |
| Provider Name | Crystal D Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316618291 PECOS PAC ID: 7012307010 Enrollment ID: I20220124000733 |
| Provider Name | April L Fligor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024529 PECOS PAC ID: 2466845060 Enrollment ID: I20220202003065 |
| Provider Name | Amber Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225791783 PECOS PAC ID: 0648663039 Enrollment ID: I20220207002602 |
| Provider Name | Dana J Herald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346916715 PECOS PAC ID: 2466845854 Enrollment ID: I20220207002613 |
| Provider Name | Anita Acharya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003575119 PECOS PAC ID: 7214321256 Enrollment ID: I20220308001788 |
| Provider Name | Shaina Allensworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760140396 PECOS PAC ID: 2769878503 Enrollment ID: I20220405000570 |
| Provider Name | Olga Chervinchik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720624968 PECOS PAC ID: 3173959228 Enrollment ID: I20220418000962 |
| Provider Name | Amy Capodici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790437093 PECOS PAC ID: 8325435761 Enrollment ID: I20220503002145 |
| Provider Name | Shivani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598414005 PECOS PAC ID: 9335526540 Enrollment ID: I20220509002122 |
| Provider Name | Madeline Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659014868 PECOS PAC ID: 7012395874 Enrollment ID: I20220607001047 |
| Provider Name | Tatiana Maskileyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386251643 PECOS PAC ID: 3274911953 Enrollment ID: I20220608002565 |
| Provider Name | Marina Rakitskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740813682 PECOS PAC ID: 6002297504 Enrollment ID: I20220714002665 |
| Provider Name | Laurie Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376298158 PECOS PAC ID: 8921481425 Enrollment ID: I20220816002801 |
| Provider Name | Andrissa Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376276006 PECOS PAC ID: 6204211519 Enrollment ID: I20220921003900 |
| Provider Name | Lynell Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568078582 PECOS PAC ID: 8325423528 Enrollment ID: I20220922003999 |
| Provider Name | Orli Gal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275254237 PECOS PAC ID: 1254717218 Enrollment ID: I20220929000596 |
| Provider Name | Caroline Furman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871061473 PECOS PAC ID: 9436559754 Enrollment ID: I20221012003288 |
| Provider Name | Breann Marie Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295462224 PECOS PAC ID: 3274901350 Enrollment ID: I20221121002072 |
| Provider Name | Shelly Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841468584 PECOS PAC ID: 9638364631 Enrollment ID: I20221130001404 |
| Provider Name | Sarah Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114653409 PECOS PAC ID: 8820460835 Enrollment ID: I20230220002117 |
| Provider Name | Margaret Ellen Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407400310 PECOS PAC ID: 2860722725 Enrollment ID: I20230322000231 |
| Provider Name | Johnna Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356930804 PECOS PAC ID: 2466851969 Enrollment ID: I20230425002564 |
| Provider Name | Valerie D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366151029 PECOS PAC ID: 0749645646 Enrollment ID: I20230428000032 |
| Provider Name | Briana Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477267987 PECOS PAC ID: 3678934437 Enrollment ID: I20230727000218 |
| Provider Name | Shenia Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477252757 PECOS PAC ID: 1557727708 Enrollment ID: I20230802002392 |
| Provider Name | Tulsi Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841984903 PECOS PAC ID: 5496116584 Enrollment ID: I20230807000126 |
| Provider Name | Antoinette Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164116679 PECOS PAC ID: 6204280282 Enrollment ID: I20230925002344 |
| Provider Name | Kathleen M Mckeever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659898617 PECOS PAC ID: 5991061632 Enrollment ID: I20230926002804 |
| Provider Name | Forum Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326739244 PECOS PAC ID: 0042664633 Enrollment ID: I20231002000131 |
| Provider Name | Joann Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396430039 PECOS PAC ID: 1355799024 Enrollment ID: I20231120001445 |
| Provider Name | Anna Antonova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730962952 PECOS PAC ID: 8628421419 Enrollment ID: I20240129001216 |
| Provider Name | Nancy Thai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144915828 PECOS PAC ID: 9234573643 Enrollment ID: I20240213004372 |
| Provider Name | Joshua Burton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518590249 PECOS PAC ID: 4880039544 Enrollment ID: I20240304003109 |
| Provider Name | Jennifer Mcgarry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972365450 PECOS PAC ID: 3072056977 Enrollment ID: I20240620001185 |
| Provider Name | Shannon Boring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982445086 PECOS PAC ID: 5496293409 Enrollment ID: I20240821001146 |
| Provider Name | Lindsey Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922344407 PECOS PAC ID: 6002051596 Enrollment ID: I20240829004392 |
| Provider Name | Olaitan Sonuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891049292 PECOS PAC ID: 5698991842 Enrollment ID: I20240830000595 |
| Provider Name | Michelle N Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356574982 PECOS PAC ID: 2466728589 Enrollment ID: I20240906003255 |
| Provider Name | Marlene Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598394900 PECOS PAC ID: 4082019245 Enrollment ID: I20250103001483 |
| Provider Name | Lydia Yilma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215527544 PECOS PAC ID: 0749687655 Enrollment ID: I20250214002487 |
| Provider Name | Monica Conliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235890617 PECOS PAC ID: 0840684304 Enrollment ID: I20250217001401 |
| Provider Name | Candace Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502246 PECOS PAC ID: 2860793866 Enrollment ID: I20250220000830 |
| Provider Name | Taylor Catrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360920 PECOS PAC ID: 6709128986 Enrollment ID: I20250304000517 |
| Provider Name | Diane Stella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053573238 PECOS PAC ID: 8729133681 Enrollment ID: I20250307001108 |
| Provider Name | Mikaela Rubenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003277 PECOS PAC ID: 7315248119 Enrollment ID: I20250307003461 |
| Provider Name | Adriene Avripas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20250313001196 |
| Provider Name | Brittany Gyorfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386072361 PECOS PAC ID: 5991923955 Enrollment ID: I20250319000302 |
| Provider Name | Ryan Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20250331000718 |
| Provider Name | Ashlee S Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750768859 PECOS PAC ID: 3577875517 Enrollment ID: I20250403000189 |
| Provider Name | Brittney Afram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750990875 PECOS PAC ID: 0143632661 Enrollment ID: I20250403001136 |
| Provider Name | Katlyn Brewington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326647892 PECOS PAC ID: 5597110601 Enrollment ID: I20250404000420 |
| Provider Name | Joseph Isagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609488147 PECOS PAC ID: 9133539885 Enrollment ID: I20250409000706 |
| Provider Name | Jennifer Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003185570 PECOS PAC ID: 7416112065 Enrollment ID: I20250425000285 |
| Provider Name | Esther Romilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073954897 PECOS PAC ID: 3779848692 Enrollment ID: I20250506001835 |
| Provider Name | Pamela Witek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770836843 PECOS PAC ID: 8628221470 Enrollment ID: I20250508002916 |
| Provider Name | Althea Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730734146 PECOS PAC ID: 8921338831 Enrollment ID: I20250508003478 |
| Provider Name | Ingrid Stier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144527821 PECOS PAC ID: 4789867383 Enrollment ID: I20250512001305 |
| Provider Name | Crystal Nicosia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154747970 PECOS PAC ID: 7113141516 Enrollment ID: I20250523002114 |
| Provider Name | Angela Frazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104451061 PECOS PAC ID: 2668899253 Enrollment ID: I20250528002353 |
| Provider Name | Adelaide Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760097323 PECOS PAC ID: 5597173674 Enrollment ID: I20250528003844 |
| Provider Name | Idara Inokon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740826643 PECOS PAC ID: 8123463551 Enrollment ID: I20250530000928 |
| Provider Name | Alyson Leigh Huling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427609718 PECOS PAC ID: 4587098165 Enrollment ID: I20250530002151 |
| Provider Name | Molly Ann Kolarik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629880778 PECOS PAC ID: 3678083219 Enrollment ID: I20250611003370 |
| Provider Name | Aubrey Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477251577 PECOS PAC ID: 2163887340 Enrollment ID: I20250612000736 |
| Provider Name | Macy Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618848 PECOS PAC ID: 3779847173 Enrollment ID: I20250612002612 |
Elite Neurology Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 E Haverford Rd Ste 202a, Bryn Mawr, PA 19010 Phone: 484-996-3783 | |
Greene House Counseling,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Summit Grove Ave Ste 211, Bryn Mawr, PA 19010 Phone: 610-348-5477 | |
Summit Grove Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Summit Grove Ave Ste 211, Bryn Mawr, PA 19010 Phone: 484-442-0478 | |
Your Time Online Therapy Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Chetwynd Dr Ste 203, Bryn Mawr, PA 19010 Phone: 267-471-2322 | |
Gruenberg & Summers, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Haverford Rd, Suite 302, Bryn Mawr, PA 19010 Phone: 610-527-3201 Fax: 610-527-4628 | |
Main Line Play Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Chetwynd Dr Ste 201, Bryn Mawr, PA 19010 Phone: 267-471-2322 | |
Center For Anxiety & Behavior Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 E Haverford Rd Ste 301, Bryn Mawr, PA 19010 Phone: 610-455-5757 |