Provider Demographics
NPI:1215800107
Name:GREENAWALD, CLAUDETTE (FNP-C)
Entity type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:
Last Name:GREENAWALD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 SAND SPRING RD APT L3
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-2415
Mailing Address - Country:US
Mailing Address - Phone:484-837-5897
Mailing Address - Fax:
Practice Address - Street 1:4101 SAND SPRING RD APT L3
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2415
Practice Address - Country:US
Practice Address - Phone:484-837-5897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF09251201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily