Provider Demographics
NPI:1922036235
Name:DELLABADIA, JUDITH (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:
Last Name:DELLABADIA
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 1:937 E HAVERFORD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3800
Mailing Address - Country:US
Mailing Address - Phone:610-527-8844
Mailing Address - Fax:610-527-6658
Practice Address - Street 1:937 E HAVERFORD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3800
Practice Address - Country:US
Practice Address - Phone:610-527-8844
Practice Address - Fax:610-527-6658
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007648363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA079471Medicare UPIN