Healthcare Provider Details

I. General information

NPI: 1497205041
Provider Name (Legal Business Name): MONICA HEHIR CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 W SPROUL RD STE 208
SPRINGFIELD PA
19064-2027
US

IV. Provider business mailing address

1350 EDGMONT AVE STE 1500
CHESTER PA
19013-3962
US

V. Phone/Fax

Practice location:
  • Phone: 610-338-1816
  • Fax:
Mailing address:
  • Phone: 610-619-8259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP017525
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: