Healthcare Provider Details

I. General information

NPI: 1558718981
Provider Name (Legal Business Name): CIARA LYNCH LEVINE RN,MSN,PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 CHERRY FARM LN
WEST CHESTER PA
19382-8346
US

IV. Provider business mailing address

52 CHERRY FARM LN
WEST CHESTER PA
19382-8346
US

V. Phone/Fax

Practice location:
  • Phone: 610-316-2031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN347112L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: