MEDICARE: HEATHER MICHELLE LEVINSKY CNP

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
1	363LF0000X	Family Nurse Practitioner	SP025593	PA

General Provider Information

NPI Number	:	1528567120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MICHELLE LEVINSKY CNP

Provider Business Mailing Address
First Line	:	440 EAST MARSHALL STREET
Second Line	:	SUITE 101
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-5415
Country	:	US
Telephone Number	:	610-738-2500
Fax Number	:	610-738-2540

Provider Business Practice Location Address
First Line	:	440 EAST MARSHALL STREET
Second Line	:	SUITE 101
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-5415
Country	:	US
Telephone Number	:	610-738-2500
Fax Number	:	610-738-2540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	07/13/2023

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