Provider Demographics
NPI:1376505743
Name:HUMMEL, MAUREEN (APN-C)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:HILDEBRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 CROYDEN RD
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-1635
Mailing Address - Country:US
Mailing Address - Phone:267-307-0159
Mailing Address - Fax:
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:COMPREHENSIVE HEART FAILURE PROGRAM 5 TH FLOOR TOLL BLD
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001
Practice Address - Country:US
Practice Address - Phone:215-481-4100
Practice Address - Fax:215-481-4199
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00095800363LA2100X
PASP004742P363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
S61160Medicare UPIN