MEDICARE: PAOLA ORMACHEA FNP

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	SP032491	PA

General Provider Information

NPI Number	:	1891588851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAOLA ORMACHEA FNP

Provider Business Mailing Address
First Line	:	525 HIGHLAND BLVD STE 116
Second Line	:
City	:	COATESVILLE
State	:	PA
Zip	:	19320-5810
Country	:	US
Telephone Number	:	610-679-9525
Fax Number	:	610-679-9510

Provider Business Practice Location Address
First Line	:	525 HIGHLAND BLVD STE 116
Second Line	:
City	:	COATESVILLE
State	:	PA
Zip	:	19320-5810
Country	:	US
Telephone Number	:	610-679-9525
Fax Number	:	610-679-9510

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

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	10/30/2025

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