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NPI Code Detail

MEDICARE: COLLEEN M GUINEY CRNP

MEDICARE: COLLEEN M GUINEY 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
1363LP0200XPediatric Nurse PractitionerUP003443DPA

General Provider Information

NPI Number : 1245443282
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN M GUINEY CRNP
Provider Business Mailing Address
First Line : 337 DICKINSON AVE
Second Line :
City : SWARTHMORE
State : PA
Zip : 19081-2002
Country : US
Telephone Number : 610-544-8890
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S 5TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-5919
Country : US
Telephone Number : 215-467-3515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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