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NPI Code Detail

MEDICARE: COLLEEN M WERKMEISTER

MEDICARE: COLLEEN M WERKMEISTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerSP020293PA

General Provider Information

NPI Number : 1063129732
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN M WERKMEISTER
Provider Business Mailing Address
First Line : 108 HEATHERWOOD RD
Second Line :
City : HAVERTOWN
State : PA
Zip : 19083-5535
Country : US
Telephone Number : 215-692-4725
Fax Number :
Provider Business Practice Location Address
First Line : 3400 SPRUCE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number : 215-662-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2022
Last Update Date : 11/02/2022

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