MEDICARE: MS. CATHERINE MARIE MCELROY CRNP-BC

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	363LF0000X	Family Nurse Practitioner	SP011314	PA

General Provider Information

NPI Number	:	1578843033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE MARIE MCELROY CRNP-BC

Provider Business Mailing Address
First Line	:	1401 CHESTER PIKE
Second Line	:
City	:	EDDYSTONE
State	:	PA
Zip	:	19022-1336
Country	:	US
Telephone Number	:	610-447-0609
Fax Number	:	610-447-1481

Provider Business Practice Location Address
First Line	:	1401 CHESTER PIKE
Second Line	:
City	:	EDDYSTONE
State	:	PA
Zip	:	19022-1336
Country	:	US
Telephone Number	:	610-447-0609
Fax Number	:	610-447-1481

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

Provider Enumeration Date	:	08/27/2011
Last Update Date	:	02/08/2016

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