Provider Demographics
NPI:1336252733
Name:PRON, ANN LINGUITI (CRNP)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:LINGUITI
Last Name:PRON
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 1:7930 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2644
Mailing Address - Country:US
Mailing Address - Phone:215-765-6690
Mailing Address - Fax:215-765-6694
Practice Address - Street 1:7930 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2644
Practice Address - Country:US
Practice Address - Phone:215-765-6690
Practice Address - Fax:215-765-6694
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP000292D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0404561000OtherKEYSTONE HEALTH PLAN EAST
PA30027027OtherKEYSTONE MERCY HEALTH PLAN
PA582750OtherBLUE CROSS
PA16718OtherBRAVO
PA0012092530001Medicaid
PA5809469OtherAETNA
PA0404561000OtherKEYSTONE HEALTH PLAN EAST