Healthcare Provider Details

I. General information

NPI: 1457778003
Provider Name (Legal Business Name): HOLLY ANN BERINGER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2014
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E BALTIMORE PIKE STE 100
KENNETT SQUARE PA
19348-2434
US

IV. Provider business mailing address

721 E BALTIMORE PIKE STE 100
KENNETT SQUARE PA
19348-2434
US

V. Phone/Fax

Practice location:
  • Phone: 610-765-4200
  • Fax: 610-765-4210
Mailing address:
  • Phone: 610-765-4200
  • Fax: 610-765-4210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA056754
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0000963
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: