Provider Demographics
NPI:1417115924
Name:DRUCKER, DALE ELLEN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:DALE
Middle Name:ELLEN
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:CRNP
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Other - Credentials:
Mailing Address - Street 1:3635 N FRONT ST
Mailing Address - Street 2:ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES - ADOLESCENT MED
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4642
Mailing Address - Country:US
Mailing Address - Phone:215-427-3803
Mailing Address - Fax:215-427-3801
Practice Address - Street 1:3635 N FRONT ST
Practice Address - Street 2:ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES - ADOLESCENT MED
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-4642
Practice Address - Country:US
Practice Address - Phone:215-427-3803
Practice Address - Fax:215-427-3801
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP000360B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily