Healthcare Provider Details

I. General information

NPI: 1023445012
Provider Name (Legal Business Name): CATHERINE DEBOW MCGINTY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE ANNE DEBOW FNP

II. Dates (important events)

Enumeration Date: 10/04/2013
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 W CHESTER PIKE STE 340
NEWTOWN SQUARE PA
19073-2304
US

IV. Provider business mailing address

3855 W CHESTER PIKE STE 340
NEWTOWN SQUARE PA
19073-2304
US

V. Phone/Fax

Practice location:
  • Phone: 484-227-9680
  • Fax: 484-227-9695
Mailing address:
  • Phone: 484-227-9680
  • Fax: 484-227-9695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN579917
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP015029
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015029
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: