MEDICARE: COLLEEN H ERB 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	363LA2100X	Acute Care Nurse Practitioner	SP007786	PA

General Provider Information

NPI Number	:	1770795031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN H ERB CRNP

Provider Business Mailing Address
First Line	:	333 COTTMAN AVE
Second Line	:	FOX CHASE CANCER CENTER
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2497
Country	:	US
Telephone Number	:	215-520-3146
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 COTTMAN AVE
Second Line	:	FOX CHASE CANCER CENTER
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2497
Country	:	US
Telephone Number	:	215-520-3146
Fax Number	:

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	05/07/2013

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