MEDICARE: MRS. ELIZABETH CHERTOW SANTARSIERO CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	SP007534	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225038771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH CHERTOW SANTARSIERO CRNP

Provider Business Mailing Address
First Line	:	800 SPRUCE ST
Second Line	:	1 PINE WEST
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6130
Country	:	US
Telephone Number	:	215-829-2345
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SPRUCE ST
Second Line	:	1 PINE WEST
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6130
Country	:	US
Telephone Number	:	215-829-2345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	08/07/2014

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