Doctor Name: | MS. JO ANN ELIZABETH SEROTA |
NPI Number: | 1194724526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., C.R.N.P. |
License Number: | TP000880D |
Business Practice Address: | 602 S Bethlehem Pike Suite D Ambler, PA - 190025800 |
Business Phone Number: | 2156437771 |
Business Fax Number: | 2156439463 |
Mailing Address: | 602 S Bethlehem Pike, Suite D AMBLER |
State: | PA |
Postal Code: | 190025800 |
Phone Number: | 2156437771 |
Fax Number: | 2156439463 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | TP000880D |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |