Provider Demographics
NPI:1669666178
Name:GERHARD-LYNN, CAROL (CRNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:GERHARD-LYNN
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 1:1235 OLD YORK RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3800
Mailing Address - Country:US
Mailing Address - Phone:215-517-1100
Mailing Address - Fax:215-517-1129
Practice Address - Street 1:1235 OLD YORK RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3800
Practice Address - Country:US
Practice Address - Phone:215-517-1100
Practice Address - Fax:215-517-1129
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP001901H364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS34527Medicare UPIN