Healthcare Provider Details

I. General information

NPI: 1013753227
Provider Name (Legal Business Name): ALWAYS SUNNY PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PHILADELPHIA AVE UNIT 1
SHILLINGTON PA
19607-2757
US

IV. Provider business mailing address

14 PHILADELPHIA AVE UNIT 1
SHILLINGTON PA
19607-2757
US

V. Phone/Fax

Practice location:
  • Phone: 610-871-3856
  • Fax:
Mailing address:
  • Phone: 610-871-3856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ADRIENNE N SALANECK
Title or Position: OWNER
Credential: APRN-BC
Phone: 610-871-3856