| Emily Van-otoo, CRNP | |
|
2400 Butler Pike, Plymouth Meeting, PA 19462-1411 | |
| (610) 941-1291 | |
| Not Available |
| Full Name | Emily Van-otoo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2400 Butler Pike, Plymouth Meeting, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649662925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SPO14693 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP014693 (Pennsylvania) | Primary |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Van-otoo, CRNP 1500 Market St, 24th Floor- West Tower, Phila, PA 19102-2100 Ph: (215) 255-3828 | Emily Van-otoo, CRNP 2400 Butler Pike, Plymouth Meeting, PA 19462-1411 Ph: (610) 941-1291 |
Edith E Arijaje, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 W Germantown Pike Ste 160, Plymouth Meeting, PA 19462 Phone: 610-892-3800 | |
Chelsea Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Butler Pike, Plymouth Meeting, PA 19462 Phone: 610-941-1291 | |
Vincent Grove, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 | |
Sandi Pino, MSN, CRNP, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2250 Hickory Rd Ste 140, Plymouth Meeting, PA 19462 Phone: 610-379-2904 Fax: 610-840-0528 | |
Mrs. Shannon Westbrook, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-3222 | |
Allison Ickes, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 Fax: 610-272-5655 | |
Corinne Elizabeth Gallo Dressel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 |