Provider Demographics
NPI:1336691435
Name:LUBRANO-LOBIANCO, MARIA (MSN CRNP RN AGNP-BC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LUBRANO-LOBIANCO
Suffix:
Gender:F
Credentials:MSN CRNP RN AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 N LEWIS RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-3521
Mailing Address - Country:US
Mailing Address - Phone:610-933-8000
Mailing Address - Fax:610-935-8759
Practice Address - Street 1:826 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4459
Practice Address - Country:US
Practice Address - Phone:610-933-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016720363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner