Provider Demographics
NPI:1427679398
Name:FERRARELLO, DEBI PAGE
Entity type:Individual
Prefix:
First Name:DEBI
Middle Name:PAGE
Last Name:FERRARELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1059 CLEMENS AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4003
Mailing Address - Country:US
Mailing Address - Phone:267-474-7516
Mailing Address - Fax:
Practice Address - Street 1:1059 CLEMENS AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4003
Practice Address - Country:US
Practice Address - Phone:267-474-7516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA246676-L163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant