Provider Demographics
NPI:1316164270
Name:DUSING, NANCY D (OTR)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:D
Last Name:DUSING
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:KULPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19443-0124
Mailing Address - Country:US
Mailing Address - Phone:215-368-1200
Mailing Address - Fax:215-368-9955
Practice Address - Street 1:728 NORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2125
Practice Address - Country:US
Practice Address - Phone:215-628-3545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002163L171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor