Provider Demographics
NPI:1528574035
Name:DATS, MARIA (CRNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DATS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:KELMANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:41 UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:407 FLORAL VALE BLVD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5526
Practice Address - Country:US
Practice Address - Phone:215-750-7150
Practice Address - Fax:215-750-7153
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily