Healthcare Provider Details

I. General information

NPI: 1538145933
Provider Name (Legal Business Name): KAREN SCHILLINGER GORGONZOLA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STUDENT HEALTH SERVICES WEST CHESTER UNIVERSITY
WEST CHESTER PA
19383
US

IV. Provider business mailing address

167 SHORE LINE DR
HONEY BROOK PA
19344-9706
US

V. Phone/Fax

Practice location:
  • Phone: 610-436-2509
  • Fax:
Mailing address:
  • Phone: 610-286-7851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberUP006635B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: