Provider Demographics
NPI:1154611242
Name:NORTH PENN VISITING NURSE ASSOCIATION
Entity type:Organization
Organization Name:NORTH PENN VISITING NURSE ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:215-855-8296
Mailing Address - Street 1:51 MEDICAL CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1254
Mailing Address - Country:US
Mailing Address - Phone:215-855-8296
Mailing Address - Fax:215-855-1305
Practice Address - Street 1:1290 ALLENTOWN RD
Practice Address - Street 2:SUITE A
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4177
Practice Address - Country:US
Practice Address - Phone:267-263-2874
Practice Address - Fax:267-263-2881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA284784261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care