Provider Demographics
NPI:1134334352
Name:ADLER, PATRICIA (CRNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:ADLER
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 1:708 SHADY RETREAT ROAD
Mailing Address - Street 2:SUITE 3-4
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-345-6090
Mailing Address - Fax:215-345-6119
Practice Address - Street 1:708 SHADY RETREAT ROAD
Practice Address - Street 2:SUITE 3-4
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-345-6090
Practice Address - Fax:215-345-6119
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP002058D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN272503LOtherRN LICENSE
PA94003OtherNURSING CERTIFICATE
PAVP002058DOtherCRNP LICENSE
PA005028OtherPRESCRIPTION AUTH