Healthcare Provider Details

I. General information

NPI: 1275530958
Provider Name (Legal Business Name): TERASA M ASTARITA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 HARRISBURG PIKE SUITE 202
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2112 HARRISBURG PIKE SUITE 202
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3500
  • Fax: 717-544-3501
Mailing address:
  • Phone: 717-544-3500
  • Fax: 717-544-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberTP006313C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: