MEDICARE: MARTHA MACHOWSKI 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
1	363L00000X	Nurse Practitioner	SP025966	PA

General Provider Information

NPI Number	:	1669108585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA MACHOWSKI CRNP

Provider Business Mailing Address
First Line	:	1261 AUDUBON RD
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-8434
Country	:	US
Telephone Number	:	610-425-1376
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 S BRYN MAWR AVE
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3121
Country	:	US
Telephone Number	:	484-337-2580
Fax Number	:

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

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	02/10/2026

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