Provider Demographics
NPI:1740393388
Name:PIDGEON, DARLENE MARY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:MARY
Last Name:PIDGEON
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:837 UNION RD
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-1851
Mailing Address - Country:US
Mailing Address - Phone:215-823-4513
Mailing Address - Fax:215-823-7806
Practice Address - Street 1:3461 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4302
Practice Address - Country:US
Practice Address - Phone:215-823-4513
Practice Address - Fax:215-823-7806
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP007283363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner