Healthcare Provider Details

I. General information

NPI: 1477979466
Provider Name (Legal Business Name): KRISTA MARIE DANKIW-LUDWIG CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2014
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 W SCHUYLKILL RD STE G-15A
POTTSTOWN PA
19465
US

IV. Provider business mailing address

351 W SCHUYLKILL RD STE G-15A
POTTSTOWN PA
19465-7438
US

V. Phone/Fax

Practice location:
  • Phone: 610-326-9460
  • Fax: 610-222-5006
Mailing address:
  • Phone: 610-326-9460
  • Fax: 610-222-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP012783
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: