| Mrs Roshani Anil Patel, FNP | |
| 212 N Main St, North Wales, PA 19454-3129 | |
| (215) 699-1501 | |
| Not Available | 
| Full Name | Mrs Roshani Anil Patel | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 212 N Main St, North Wales, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659188068 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP031682 (Pennsylvania) | Primary | 
| Entity Name | Fornance Physician Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053363523 PECOS PAC ID: 8527962661 Enrollment ID: O20040216000037 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Roshani Anil Patel, FNP 123 Oxford Ln, North Wales, PA 19454-4402 Ph: (302) 312-1511 | Mrs Roshani Anil Patel, FNP 212 N Main St, North Wales, PA 19454-3129 Ph: (215) 699-1501 | 
| Deborah Buck, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 171 Filly Drive, North Wales, PA 19454 Phone: 215-393-7379 | |
| Ms. Diane R. Mcnickle, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1425 Horsham Rd, North Wales, PA 19454 Phone: 215-371-6310 | |
| Mrs. Lateefa Antrom, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1427 Horsham Rd, North Wales, PA 19454 Phone: 215-326-9065 Fax: 215-703-9776 | |
| Krupali Patel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Horsham Rd, North Wales, PA 19454 Phone: 215-371-3000 | |
| Felicia Bortsoo Borketey, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 Santa Anita Dr, North Wales, PA 19454 Phone: 614-592-1220 | |
| Lauren Catherine Young, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Annabel Rd, North Wales, PA 19454 Phone: 856-217-0799 | |
| Elizabeth Walton,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1427 Horsham Rd, North Wales, PA 19454 Phone: 215-326-9065 Fax: 215-703-9776 |