Doctor Name: | DR. JUDY TRIVITS VERGER |
NPI Number: | 1457511180 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP002265O |
Business Practice Address: | 17 Ridings Way Chadds Ford, PA - 193179164 |
Business Phone Number: | 6103584725 |
Business Fax Number: | |
Mailing Address: | 17 Ridings Way, CHADDS FORD |
State: | PA |
Postal Code: | 193179164 |
Phone Number: | 6103584725 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0222X |
License Number: | UP002265O |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics, Critical Care |
Taxonomy Definition: |