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NPI Code Detail

MEDICARE: CHRISTINE JENNIFER FOREMAN CRNP

MEDICARE: CHRISTINE JENNIFER FOREMAN 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 PractitionerSP020884PA

General Provider Information

NPI Number : 1770113995
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE JENNIFER FOREMAN CRNP
Provider Business Mailing Address
First Line : 1574 ARLINE AVE
Second Line :
City : ABINGTON
State : PA
Zip : 19001-1521
Country : US
Telephone Number : 215-390-4697
Fax Number :
Provider Business Practice Location Address
First Line : 7901 STATE RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19136-3407
Country : US
Telephone Number : 215-685-7741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2020
Last Update Date : 01/16/2020

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