Healthcare Provider Details

I. General information

NPI: 1245195742
Provider Name (Legal Business Name): TELEHEALTH AND HOME NURSE PRACTITIONER SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N LINE ST
LANSDALE PA
19446-2755
US

IV. Provider business mailing address

405 N LINE ST
LANSDALE PA
19446-2755
US

V. Phone/Fax

Practice location:
  • Phone: 484-440-9843
  • Fax: 215-714-2210
Mailing address:
  • Phone: 484-440-9843
  • Fax: 215-714-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MONIFA THELWELL
Title or Position: PRACTICE OWNER
Credential:
Phone: 484-440-9843