Provider Demographics
NPI:1538145933
Name:GORGONZOLA, KAREN SCHILLINGER (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SCHILLINGER
Last Name:GORGONZOLA
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 1:167 SHORE LINE DR
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344-9706
Mailing Address - Country:US
Mailing Address - Phone:610-286-7851
Mailing Address - Fax:
Practice Address - Street 1:STUDENT HEALTH SERVICES
Practice Address - Street 2:WEST CHESTER UNIVERSITY
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19383
Practice Address - Country:US
Practice Address - Phone:610-436-2509
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006635B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily