MEDICARE: CHRISTINA FLORENCE PODROST DOLL 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	363L00000X	Nurse Practitioner	SP027031	PA

General Provider Information

NPI Number	:	1528747920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA FLORENCE PODROST DOLL CRNP

Provider Business Mailing Address
First Line	:	2429 PARK RD
Second Line	:
City	:	WARRINGTON
State	:	PA
Zip	:	18976-1703
Country	:	US
Telephone Number	:	267-972-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2429 PARK RD
Second Line	:
City	:	WARRINGTON
State	:	PA
Zip	:	18976-1703
Country	:	US
Telephone Number	:	267-972-3700
Fax Number	:

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

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	07/13/2023

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