NPI Code Details Logo

NPI 1619500345

NPI 1619500345 : RONA CAMILE VETRANO CRNP : EPHRATA, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1619500345
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RONA CAMILE VETRANO CRNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/21/2020
-----------------------------------------------------
    Last Update Date     |    11/19/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    207 W FULTON ST 
-----------------------------------------------------
    City                 |    EPHRATA
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17522-1902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    717-721-8789
-----------------------------------------------------
    Fax                  |    717-715-1360
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3421 CONCORD RD 
-----------------------------------------------------
    City                 |    YORK
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17402-9001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    717-721-8789
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    SP020899
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.