Individual
KARIN JONCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
2510 MARYLAND RD, SUITE 185, WILLOW GROVE, PA 19090-1109
(215) 657-5886
(215) 657-9996
Mailing address
2510 MARYLAND RD, SUITE 185, WILLOW GROVE, PA 19090-1109
(215) 657-5886
(215) 657-9996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN604316
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010525
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024191690001
—
PA
01
—
1174859235
HEALTHPARTNERS - PA
PA
01
—
2138224
HIGHMARK BCBS
PA
Enumeration date
10/26/2009
Last updated
10/18/2011
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