Healthcare Provider Details

I. General information

NPI: 1659709723
Provider Name (Legal Business Name): DEBORAH CELLERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2013
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROBINSON ST SUITE 100
POTTSTOWN PA
19464-6421
US

IV. Provider business mailing address

250 KING OF PRUSSIA RD
RADNOR PA
19087
US

V. Phone/Fax

Practice location:
  • Phone: 610-326-9460
  • Fax:
Mailing address:
  • Phone: 610-902-5600
  • Fax: 610-902-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP012628
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: