Provider Demographics
NPI:1063538890
Name:ORSINI, MONA T (CRNP, MSN)
Entity type:Individual
Prefix:MRS
First Name:MONA
Middle Name:T
Last Name:ORSINI
Suffix:
Gender:F
Credentials:CRNP, MSN
Other - Prefix:
Other - First Name:MONA
Other - Middle Name:TERESA
Other - Last Name:ORSINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:1811 JAZZ DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3073
Mailing Address - Country:US
Mailing Address - Phone:412-956-1705
Mailing Address - Fax:
Practice Address - Street 1:1 EAST ST
Practice Address - Street 2:
Practice Address - City:HARRINGTON
Practice Address - State:DE
Practice Address - Zip Code:19952-1320
Practice Address - Country:US
Practice Address - Phone:302-786-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP007036B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1063538890Medicare PIN