Provider Demographics
NPI:1972389278
Name:TUDOR, PATRICIA LYNNE (MSN CRNP, AGPCNP-BC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNNE
Last Name:TUDOR
Suffix:
Gender:F
Credentials:MSN CRNP, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1428
Mailing Address - Country:US
Mailing Address - Phone:215-896-0563
Mailing Address - Fax:
Practice Address - Street 1:206 N 6TH ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-1428
Practice Address - Country:US
Practice Address - Phone:215-896-0563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021333363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology