Provider Demographics
NPI:1669542106
Name:NAIMOLI, BETTY E (CRNP)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:E
Last Name:NAIMOLI
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 1:1000 E WELSH RD
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2316
Mailing Address - Country:US
Mailing Address - Phone:215-646-0165
Mailing Address - Fax:
Practice Address - Street 1:1000 E WELSH RD
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2316
Practice Address - Country:US
Practice Address - Phone:215-646-0165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009090363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner