Healthcare Provider Details

I. General information

NPI: 1942450176
Provider Name (Legal Business Name): VALERIE MCCORMICK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 HUNTINGDON PIKE
HUNTINGDON VALLEY PA
19006-8371
US

IV. Provider business mailing address

1322 GROVANIA AVE
ABINGTON PA
19001-2511
US

V. Phone/Fax

Practice location:
  • Phone: 215-322-0800
  • Fax:
Mailing address:
  • Phone: 267-426-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP005866D
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP005866D
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: