Provider Demographics
NPI:1487696555
Name:NOLAN, MAUREEN LLOYD (CRNP)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:LLOYD
Last Name:NOLAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:460 NORRISTOWN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19922
Mailing Address - Country:US
Mailing Address - Phone:610-941-6700
Mailing Address - Fax:
Practice Address - Street 1:11 ROBINSON STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-6439
Practice Address - Country:US
Practice Address - Phone:610-326-9460
Practice Address - Fax:610-326-2432
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP008875363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102397992Medicaid
PA123046XRNMedicare PIN
PA102397992Medicaid
123046Medicare PIN