Healthcare Provider Details

I. General information

NPI: 1669666178
Provider Name (Legal Business Name): CAROL GERHARD-LYNN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 OLD YORK RD SUITE 210
ABINGTON PA
19001-3800
US

IV. Provider business mailing address

1235 OLD YORK RD SUITE 210
ABINGTON PA
19001-3800
US

V. Phone/Fax

Practice location:
  • Phone: 215-517-1100
  • Fax: 215-517-1129
Mailing address:
  • Phone: 215-517-1100
  • Fax: 215-517-1129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberSP001901H
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: