Healthcare Provider Details
I. General information
NPI: 1437218930
Provider Name (Legal Business Name): FRANCES MARIA COULTER CRNP,MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 OLD YORK RD
ABINGTON PA
19001-3720
US
IV. Provider business mailing address
1200 OLD YORK RD
ABINGTON PA
19001-3720
US
V. Phone/Fax
- Phone: 215-481-6784
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | SP009165 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: