| Doctor Name: | BERNADETTE CIARCIELLO |
| NPI Number: | 1679996763 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP013556 |
| Business Practice Address: | 714 N Bethlehem Pike Suite 101 Lower Gwynedd, PA - 190022655 |
| Business Phone Number: | 2155404411 |
| Business Fax Number: | 2155404415 |
| Mailing Address: | 714 N Bethlehem Pike, Suite 101 LOWER GWYNEDD |
| State: | PA |
| Postal Code: | 190022655 |
| Phone Number: | 2155404411 |
| Fax Number: | 2155404415 |
| NPI Enumeration Date: | 01/27/2014 |
| NPI Last Update Date: | 01/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | SP013556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |