Healthcare Provider Details

I. General information

NPI: 1679805709
Provider Name (Legal Business Name): ELIZABETH ABRAHAM CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 OXFORD VALLEY RD
LANGHORNE PA
19047
US

IV. Provider business mailing address

380 OXFORD VALLEY RD
LANGHORNE PA
19047-8304
US

V. Phone/Fax

Practice location:
  • Phone: 215-949-5000
  • Fax:
Mailing address:
  • Phone: 215-949-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP018377
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP010657
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: