Healthcare Provider Details

I. General information

NPI: 1336051499
Provider Name (Legal Business Name): CARLI MARIE FAYNLEYB FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 STREET RD STE 101
BENSALEM PA
19020-2045
US

IV. Provider business mailing address

3331 STREET RD STE 101
BENSALEM PA
19020-2045
US

V. Phone/Fax

Practice location:
  • Phone: 215-867-3700
  • Fax: 215-940-9797
Mailing address:
  • Phone: 215-867-3700
  • Fax: 215-940-9797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP037179
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: