Provider Demographics
NPI:1366650061
Name:BIERLY, PATRICIA DEVERS (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DEVERS
Last Name:BIERLY
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:3400 CIVIC CENTER BLVD
Mailing Address - Street 2:THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4306
Mailing Address - Country:US
Mailing Address - Phone:215-590-0420
Mailing Address - Fax:215-590-3606
Practice Address - Street 1:3400 CIVIC CENTER BLVD
Practice Address - Street 2:THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4306
Practice Address - Country:US
Practice Address - Phone:215-590-0420
Practice Address - Fax:215-590-3606
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2020-02-05
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Provider Licenses
StateLicense IDTaxonomies
PAUP006356D363LP0200X
PARN266462L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse