Provider Demographics
NPI:1790065811
Name:VERBIT, TEENA DEIN (BSN, RN,MS,CRNP)
Entity Type:Individual
Prefix:
First Name:TEENA
Middle Name:DEIN
Last Name:VERBIT
Suffix:
Gender:F
Credentials:BSN, RN,MS,CRNP
Other - Prefix:
Other - First Name:TEENA
Other - Middle Name:KAREN
Other - Last Name:DEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN,RN,MS
Mailing Address - Street 1:1207 KNOX RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2408
Mailing Address - Country:US
Mailing Address - Phone:610-649-9675
Mailing Address - Fax:
Practice Address - Street 1:1207 KNOX RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2408
Practice Address - Country:US
Practice Address - Phone:610-649-9675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-20
Last Update Date:2011-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN176600L163W00000X
PAVP003464D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse