ELIZABETH DIANE WISZ (NPI# 1477802528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477802528 |
| Entity Type | Individual |
| Full Name | ELIZABETH DIANE WISZ |
| Credential | CRNP |
| Practice Address |
2701 Blair Mill Rd Ste C Willow Grove PA 19090 |
| Mailing Address |
2500 Maryland Rd Ste 400 Willow Grove PA 19090-1225 |
| Practice Telephone | 2154430660 |
| Practice Fax Number | 2154438422 |
| Mailing Telephone | 1548141432 |
| Mailing Fax Number | 2154816790 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP012323 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
SP012323 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1030 E Lancaster Ave, Suite L-1, Bryn Mawr, PA 190101451 | 6105253225 | 6105254932 |
| Street Address |
2701 BLAIR MILL RD STE C |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667487 | Vivian N. Greenberg | Obstetrics & Gynecology | 2701 Blair Mill Rd Ste C, Suite C, Willow Grove, PA 19090-1041 | 2005-08-26 |
| 1083680136 | Patricia Ann Sullivan | Obstetrics & Gynecology | 2701 Blair Mill Rd Ste C, Willow Grove, PA 19090-1041 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989031 | Margaret M Fillinger | Nurse Practitioner | 15 York Rd, Willow Grove, PA 19090-3421 | 2005-08-16 |
| 1306009618 | Rebecca Mulry Straubel | Nurse Practitioner | 2701 Blair Mill Rd, Northwood Bldg Suite C, Willow Grove, PA 19090-1041 | 2008-07-07 |
| 1104892660 | Dorothy L Rhoads | Nurse Practitioner | 2300 Computer Rd, Suite E 25, Willow Grove, PA 19090-1752 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508360538 | Melissa Mosczczynski | Nurse Practitioner | 9815 Roosevelt Blvd Ste C, Philadelphia, PA 19114-1035 | 2018-03-23 |
| 1689197873 | Rebecca Silver | Nurse Practitioner | 4807 Freemansburg Ave Ste 250, Easton, PA 18045-5522 | 2017-07-20 |
| 1376817569 | Lolita Maria Vaughan | Nurse Practitioner | 9501 Roosevelt Ave., Suite 404, Philadelphia, PA 19114 | 2012-03-06 |
| 1942596879 | Rose Wassel | Nurse Practitioner | 105 Firethorn Rd, Baden, PA 15005-2619 | 2011-06-20 |
| 1134424476 | Barrie Sydelle Essner | Nurse Practitioner | 1 Azalea Cir, Lafayette Hill, PA 19444-2102 | 2011-01-18 |
| 1215246780 | Casandra B. Gaffney | Nurse Practitioner | 600 E Marshall St Ste 205, West Chester, PA 19380-4453 | 2010-10-01 |
| 1174763601 | Lucinda A Reichley | Nurse Practitioner | 644 E High St Rear, Planned Parenthood, Pottstown, PA 19464-5762 | 2009-02-24 |
| 1912165960 | Doylestown Gynecology | Nurse Practitioner | 14 Memorial Dr, Ste A, Doylestown, PA 18901-3529 | 2008-05-27 |
| 1457536286 | Ruth Agers Rice | Nurse Practitioner | Cwm Seventeenth and Chew, Suite 100, Allentown, PA 18105 | 2007-12-28 |
| 1285768192 | Margaret Brown | Nurse Practitioner | 728 W Lincoln Hwy Fl 2, Exton, PA 19341 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
Please comment or provide details below to improve the information on ELIZABETH DIANE WISZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.