Healthcare Provider Details

I. General information

NPI: 1174920086
Provider Name (Legal Business Name): FRANCES GARBARINO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S 53RD ST
PHILADELPHIA PA
19143
US

IV. Provider business mailing address

23 BUSTLETON AVENUE SUITE 200 HOLY REDEEMER HOUSE CALLS OF PA
FEASTERVILLE PA
19053-6446
US

V. Phone/Fax

Practice location:
  • Phone: 267-994-8417
  • Fax: 215-748-9009
Mailing address:
  • Phone: 215-464-0770
  • Fax: 267-579-0720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP014530
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: