Healthcare Provider Details

I. General information

NPI: 1881001550
Provider Name (Legal Business Name): DONALD EUGENE CRAMER JR. CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 12/08/2024
Certification Date: 12/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N RADNOR CHESTER RD STE F200
RADNOR PA
19087-5245
US

IV. Provider business mailing address

150 N RADNOR CHESTER RD STE F200
RADNOR PA
19087-5245
US

V. Phone/Fax

Practice location:
  • Phone: 610-202-3440
  • Fax: 215-484-0750
Mailing address:
  • Phone: 610-202-3440
  • Fax: 215-484-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP013970
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN529224L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: