| Priscilla Korto A Tyler, CRNP-PC | |
|
2509 Grove Ln, Trevose, PA 19053-6755 | |
| (267) 401-4424 | |
| Not Available |
| Full Name | Priscilla Korto A Tyler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 2509 Grove Ln, Trevose, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033674247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | SP019672 (Pennsylvania) | Primary |
| Entity Name | Stc Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Priscilla Korto A Tyler, CRNP-PC 2509 Grove Ln, Trevose, PA 19053-6755 Ph: (267) 401-4424 | Priscilla Korto A Tyler, CRNP-PC 2509 Grove Ln, Trevose, PA 19053-6755 Ph: (267) 401-4424 |
Jennifer Bish, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4829 E Street Rd, Trevose, PA 19053 Phone: 215-364-5800 | |
Mary Marquis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 669 E Myrtle Ave, Trevose, PA 19053 Phone: 215-364-8412 | |
Mrs. Kathleen A Gant, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4829 Street Rd, Trevose, PA 19053 Phone: 215-364-5800 Fax: 215-364-5899 | |
Elissander Jean Baptiste, PMHNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3350 W End Ave Apt 3, Trevose, PA 19053 Phone: 862-224-7799 | |
Mrs. V Camille Burce Solis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4829 E Street Rd, Trevose, PA 19053 Phone: 215-364-5800 | |
Andrea M Hamburg, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4829 E Street Rd, Trevose, PA 19053 Phone: 215-364-5800 |