Healthcare Provider Details

I. General information

NPI: 1700038627
Provider Name (Legal Business Name): JOANNE M SEWARD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 C G ZINN RD
THORNDALE PA
19372-1131
US

IV. Provider business mailing address

3025 C G ZINN RD
THORNDALE PA
19372-1131
US

V. Phone/Fax

Practice location:
  • Phone: 610-384-2211
  • Fax: 610-384-2340
Mailing address:
  • Phone: 610-384-2211
  • Fax: 610-384-2340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP009377
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: