Provider Demographics
NPI:1376784397
Name:VERLINGHIERI, GWEN (MSN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:GWEN
Middle Name:
Last Name:VERLINGHIERI
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2149
Mailing Address - Country:US
Mailing Address - Phone:610-543-1544
Mailing Address - Fax:215-503-8225
Practice Address - Street 1:2304 EDGMONT AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-5038
Practice Address - Country:US
Practice Address - Phone:610-872-9101
Practice Address - Fax:610-872-9103
Is Sole Proprietor?:No
Enumeration Date:2009-03-21
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010202363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily