Healthcare Provider Details

I. General information

NPI: 1467685420
Provider Name (Legal Business Name): KAREN JOAN GAGLIARDI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1576 BROCK CREEK DR
YARDLEY PA
19067-5603
US

IV. Provider business mailing address

1576 BROCK CREEK DR
YARDLEY PA
19067-5603
US

V. Phone/Fax

Practice location:
  • Phone: 267-987-7509
  • Fax:
Mailing address:
  • Phone: 215-493-7842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP010395
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberSP010395
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: