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NPI Code Detail

MEDICARE: REGINA MARY UBALDI-ROSEN MSN/CRNP

MEDICARE: REGINA MARY UBALDI-ROSEN MSN/CRNP
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
1363LF0000XFamily Nurse PractitionerSP003371BPA

General Provider Information

NPI Number : 1073550968
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA MARY UBALDI-ROSEN MSN/CRNP
Provider Business Mailing Address
First Line : 28 LEA DR
Second Line :
City : CHADDS FORD
State : PA
Zip : 19317-8983
Country : US
Telephone Number : 610-675-7123
Fax Number :
Provider Business Practice Location Address
First Line : 2901 DUTTON MILL RD
Second Line :
City : ASTON
State : PA
Zip : 19014-2849
Country : US
Telephone Number : 610-485-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 10/03/2019

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Directions to “ REGINA MARY UBALDI-ROSEN MSN/CRNP” Practice Location

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