Theresa Conway, CRNP | |
3401 N Broad St, Philadelphia, PA 19140-5103 | |
(215) 707-1800 | |
(215) 707-3644 |
Full Name | Theresa Conway |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 3401 N Broad St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366982589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP016964 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Penn Presbyterian Medical Center | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinical Health Care Associates Of New Jersey Pc | 0749180198 | 673 |
Entity Name | Clinical Health Care Associates Of New Jersey Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447260435 PECOS PAC ID: 0749180198 Enrollment ID: O20040421001473 |
Mailing Address | Practice Location Address |
---|---|
Theresa Conway, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-1800 | Theresa Conway, CRNP 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-1800 |
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