Provider Demographics
NPI:1457511180
Name:VERGER, JUDY TRIVITS (CRNP)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:TRIVITS
Last Name:VERGER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 RIDINGS WAY
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9164
Mailing Address - Country:US
Mailing Address - Phone:610-358-4725
Mailing Address - Fax:
Practice Address - Street 1:17 RIDINGS WAY
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9164
Practice Address - Country:US
Practice Address - Phone:610-358-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP002265O363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care