Provider Demographics
NPI:1982114864
Name:NAGLE, NANCY (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:NAGLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 E LANCASTER AVE STE 13A
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1565
Mailing Address - Country:US
Mailing Address - Phone:610-525-4204
Mailing Address - Fax:
Practice Address - Street 1:1062 E LANCASTER AVE STE 13A
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1565
Practice Address - Country:US
Practice Address - Phone:610-525-4204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007022L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor