Provider Demographics
NPI:1417276825
Name:VANORE, NANCY (MSN, APRN, CS, RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:VANORE
Suffix:
Gender:F
Credentials:MSN, APRN, CS, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 CONESTOGA RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1256
Mailing Address - Country:US
Mailing Address - Phone:610-212-0923
Mailing Address - Fax:
Practice Address - Street 1:724 CONESTOGA RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1256
Practice Address - Country:US
Practice Address - Phone:610-212-0923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA212491L364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health