Provider Demographics
NPI:1518015676
Name:NARZIKUL, THERESE (CRNP)
Entity Type:Individual
Prefix:
First Name:THERESE
Middle Name:
Last Name:NARZIKUL
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 1:510 MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1818
Mailing Address - Country:US
Mailing Address - Phone:610-687-5117
Mailing Address - Fax:
Practice Address - Street 1:510 MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1818
Practice Address - Country:US
Practice Address - Phone:610-687-5117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001840H363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology