Healthcare Provider Details

I. General information

NPI: 1578434528
Provider Name (Legal Business Name): AVA ESPOSITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HORIZON CIR STE 101B
CHALFONT PA
18914-3907
US

IV. Provider business mailing address

38 BITTERSWEET DR
DOYLESTOWN PA
18901-2771
US

V. Phone/Fax

Practice location:
  • Phone: 215-394-0400
  • Fax:
Mailing address:
  • Phone: 215-285-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP033505
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: