Doctor Name: | MRS. NANCY BERNADETTE ANDRESEN |
NPI Number: | 1013137892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP001927C |
Business Practice Address: | 580 Meetinghouse Rd Ambler, PA - 190023923 |
Business Phone Number: | 2674688490 |
Business Fax Number: | 2674688492 |
Mailing Address: | 8215 Elberon Ave, PHILADELPHIA |
State: | PA |
Postal Code: | 191111814 |
Phone Number: | 2157422851 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | UP001927C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |