Provider Demographics
NPI:1013492651
Name:ADVANCED NURSE PRACTITIONER ASSOCIATES INC
Entity type:Organization
Organization Name:ADVANCED NURSE PRACTITIONER ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CRNP
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNP, NP-C
Authorized Official - Phone:484-464-8884
Mailing Address - Street 1:PO BOX 837
Mailing Address - Street 2:
Mailing Address - City:KRESGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18333-0837
Mailing Address - Country:US
Mailing Address - Phone:484-464-8884
Mailing Address - Fax:
Practice Address - Street 1:180 HTY RD STE 1
Practice Address - Street 2:
Practice Address - City:KUNKLETOWN
Practice Address - State:PA
Practice Address - Zip Code:18058-7786
Practice Address - Country:US
Practice Address - Phone:484-464-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care