Healthcare Provider Details

I. General information

NPI: 1285426270
Provider Name (Legal Business Name): SERENICARE NP CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 E BALTIMORE AVE
EAST LANSDOWNE PA
19050-2749
US

IV. Provider business mailing address

927 E BALTIMORE AVE
EAST LANSDOWNE PA
19050-2749
US

V. Phone/Fax

Practice location:
  • Phone: 215-510-3437
  • Fax:
Mailing address:
  • Phone: 609-519-9623
  • Fax: 609-519-9623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY ANN ROMARATE ARNADO
Title or Position: SOLE PROPRIETOR
Credential: FNP
Phone: 609-519-9623