Healthcare Provider Details

I. General information

NPI: 1275969537
Provider Name (Legal Business Name): ELIZABETH A GOLD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3265 COUNTY LINE RD.
CHALFONT PA
18914
US

IV. Provider business mailing address

218 ARGYLE RD
LANGHORNE PA
19047-8127
US

V. Phone/Fax

Practice location:
  • Phone: 215-378-2985
  • Fax:
Mailing address:
  • Phone: 215-860-1852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012376
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: