Individual
ANNA PAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
506 LAKESIDE PARK, SOUTHAMPTON, PA 18966
(215) 364-1400
Mailing address
506 LAKESIDE PARK, SOUTHAMPTON, PA 18966-4078
(215) 364-1400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN537232
PA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2007002133-03
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP020859
PA
Other
Enumeration date
10/19/2008
Last updated
10/09/2019
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