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NPI Code Detail

MEDICARE: MRS. ELIZABETH CHERTOW SANTARSIERO CRNP

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
1363LW0102XWomen's Health Nurse PractitionerSP007534PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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