Maryellen Theresa O'hara, CRNP | |
250 King Of Prussia Rd, Radnor, PA 19087-5220 | |
(610) 902-5625 | |
Not Available |
Full Name | Maryellen Theresa O'hara |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 250 King Of Prussia Rd, Radnor, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366693707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LA2200X | Nurse Practitioner - Adult Health | VP006835C (Pennsylvania) | Primary |
Entity Name | Premier Orthopaedic And Sports Medicine Associates, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987243 PECOS PAC ID: 5890681092 Enrollment ID: O20040225000221 |
Mailing Address | Practice Location Address |
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Maryellen Theresa O'hara, CRNP 250 King Of Prussia Rd, Radnor, PA 19087-5220 Ph: (610) 902-5625 | Maryellen Theresa O'hara, CRNP 250 King Of Prussia Rd, Radnor, PA 19087-5220 Ph: (610) 902-5625 |
Dawn Capaldo, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 King Of Prussia Rd Ste 1b, Radnor, PA 19087 Phone: 610-902-1500 Fax: 610-902-1544 | |
Susan Prescott Thompson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 King Of Prussia Rd, Suite 2j, Radnor, PA 19087 Phone: 610-902-2450 | |
Laura Steffa, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 King Of Prussia Rd Ste 205, Radnor, PA 19087 Phone: 610-902-5600 Fax: 610-902-2304 | |
Christine A Gearhart, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-5600 Fax: 610-902-5609 | |
Trudy A Lauro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2273 | |
Kathryn Rae Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2400 Fax: 610-902-2404 | |
Aileen Patricia Gavin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 King Of Prussia Road, Suite 301 North, Radnor, PA 19087 Phone: 610-902-2450 Fax: 610-902-2466 |