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NPI Code Detail

MEDICARE: MS. ADINA S. GUTSTEIN MSN, CRNP

MEDICARE:  MS. ADINA S. GUTSTEIN  MSN, 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
1363LA2200XAdult Health Nurse PractitionerTP006745CPA

General Provider Information

NPI Number : 1992708713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADINA S. GUTSTEIN MSN, CRNP
Provider Business Mailing Address
First Line : 273 GOLDENROD DR
Second Line :
City : UPPER GWYNEDD
State : PA
Zip : 19446-7605
Country : US
Telephone Number : 267-613-8081
Fax Number :
Provider Business Practice Location Address
First Line : 818 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-5104
Country : US
Telephone Number : 215-629-1158
Fax Number : 215-825-5914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/22/2011

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