Provider Demographics
NPI:1306606504
Name:PAUL-DUROCHER CERTIFIED REGISTERED NURSE PRACTITIONER CONSULTANTS
Entity type:Organization
Organization Name:PAUL-DUROCHER CERTIFIED REGISTERED NURSE PRACTITIONER CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL-DUROCHER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:267-251-5111
Mailing Address - Street 1:114 YORK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3286
Mailing Address - Country:US
Mailing Address - Phone:267-251-5111
Mailing Address - Fax:
Practice Address - Street 1:114 YORK RD STE 100
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3286
Practice Address - Country:US
Practice Address - Phone:267-251-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center