MEDICARE: DANA LYNN GENTILE MSN, CRNP, PMHNP-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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP034405	PA
2	163WE0003X	Emergency Registered Nurse	RN559019	PA
3	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN559019	PA

General Provider Information

NPI Number	:	1801613633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA LYNN GENTILE MSN, CRNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	180 S SAVANNA DR
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19465-6604
Country	:	US
Telephone Number	:	215-805-7110
Fax Number	:

Provider Business Practice Location Address
First Line	:	672 MAIN ST STE 1
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1679
Country	:	US
Telephone Number	:	267-668-0205
Fax Number	:

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

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	03/10/2026

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