Provider Demographics
NPI:1093720658
Name:MCSORLEY, MAUREEN P (APN)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:P
Last Name:MCSORLEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 UNION SQUARE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938
Mailing Address - Country:US
Mailing Address - Phone:215-862-6100
Mailing Address - Fax:215-862-6104
Practice Address - Street 1:430 UNION SQUARE DRIVE
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938
Practice Address - Country:US
Practice Address - Phone:215-862-6100
Practice Address - Fax:215-862-6104
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN10455400363LF0000X
PASP017975363LF0000X
NJNN10455400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P23079Medicare UPIN