Doctor Name: | MRS. GRETCHEN BERNATOWICZ |
NPI Number: | 1356593958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CRNP |
License Number: | SP009234 |
Business Practice Address: | 800 Lancaster Ave Villanova University Hsb 3rd Floor Villanova, PA - 190851603 |
Business Phone Number: | 6105194070 |
Business Fax Number: | 6105194047 |
Mailing Address: | 800 Lancaster Ave, Villanova University Hsb 3rd Floor VILLANOVA |
State: | PA |
Postal Code: | 190851603 |
Phone Number: | 6105194070 |
Fax Number: | 6105194047 |
NPI Enumeration Date: | 10/15/2008 |
NPI Last Update Date: | 10/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP009234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |