Individual
MS. THERESE CROWLEY PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 OLD YORK RD, 5 TOLL, ABINGTON, PA 19001-3720
(215) 481-4100
(215) 481-4199
Mailing address
1200 OLD YORK RD, 5 TOLL, ABINGTON, PA 19001-3720
(215) 481-4100
(215) 481-4199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NN07978900
NJ
363L00000X
Nurse Practitioner
Primary
SP001514C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288543
—
NJ
Enumeration date
09/13/2006
Last updated
03/16/2018
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