Provider Demographics
NPI:1831112432
Name:VANACORE CHASE, DENISE ANN (PHD, CRNP)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:ANN
Last Name:VANACORE CHASE
Suffix:
Gender:F
Credentials:PHD, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 EASTON RD
Mailing Address - Street 2:P.O. BOX 398
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-1505
Mailing Address - Country:US
Mailing Address - Phone:215-343-9140
Mailing Address - Fax:267-885-2950
Practice Address - Street 1:185 TITUS AVE
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2424
Practice Address - Country:US
Practice Address - Phone:215-995-1520
Practice Address - Fax:215-330-4763
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003800-C363LA2200X
PASP014802363LP0808X
PASP019008363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS55903Medicare UPIN
PA008445Medicare ID - Type Unspecified