Provider Demographics
NPI:1730567793
Name:MEREMINSKY, LYUBA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LYUBA
Middle Name:
Last Name:MEREMINSKY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11064 GREINER PL
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-2610
Mailing Address - Country:US
Mailing Address - Phone:267-918-2826
Mailing Address - Fax:
Practice Address - Street 1:160 ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-2144
Practice Address - Country:US
Practice Address - Phone:610-667-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014944363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner