Provider Demographics
NPI:1992752042
Name:TUMBERELLO, JOEL S (CRNP)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:S
Last Name:TUMBERELLO
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5666 CLYMER ROAD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-3264
Mailing Address - Country:US
Mailing Address - Phone:215-538-3488
Mailing Address - Fax:215-538-8692
Practice Address - Street 1:1553 CHESTER PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:CRUM LYNNE
Practice Address - State:PA
Practice Address - Zip Code:19022-1022
Practice Address - Country:US
Practice Address - Phone:610-499-7180
Practice Address - Fax:610-876-0859
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATP003619163W00000X
PATP003619C363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse