Provider Demographics
NPI:1306069083
Name:KREFETZ, ALLISON (RNFA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:KREFETZ
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 AMESBURY RD
Mailing Address - Street 2:
Mailing Address - City:FALLSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19054-1131
Mailing Address - Country:US
Mailing Address - Phone:215-295-7406
Mailing Address - Fax:
Practice Address - Street 1:280 MIDDLETOWN BLVD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1816
Practice Address - Country:US
Practice Address - Phone:267-572-3200
Practice Address - Fax:267-572-3113
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN500937L163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant