MICHELLE R MARCANTUNO (NPI# 1568726669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568726669 |
| Entity Type | Individual |
| Full Name | MICHELLE R MARCANTUNO |
| Other Name | MICHELLE R BENS |
| Credential | CRNP |
| Practice Address |
30 Medical Center Blvd Suite 404 Upland PA 19013 |
| Practice Telephone | 6106198590 |
| Practice Fax Number | 6106198591 |
| Mailing Telephone | 6106198590 |
| Mailing Fax Number | 6106198591 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP012139 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 MEDICAL CENTER BLVD SUITE 404 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004985 | S Jay Hirsh | Urology | 30 Medical Center Blvd, Ste 102, Upland, PA 19013-3955 | 2005-06-24 |
| 1174981278 | Jennifer Howarth | Registered Nurse | 30 Medical Center Blvd, Pob 1 Suite 305, Upland, PA 19013 | 2016-02-03 |
| 1699101428 | Caitlin Sarah Morgan | Dietitian, Registered | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2013-09-25 |
| 1265720502 | Yelena Kostyukov | Physician Assistant | 30 Medical Center Blvd, Prof Office Bldg 1, Suite 305, Upland, PA 19013 | 2011-07-20 |
| 1760790380 | Rita P Nunag | Pediatrics | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2010-09-16 |
| 1841503232 | Venkata Sandeep Yadavalli | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-07-14 |
| 1487965364 | Sonia Brar | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-25 |
| 1043521255 | Rambabu Thallapaneni | Family Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-23 |
| 1215250758 | Erin Marie Mannella | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013-3955 | 2010-03-11 |
| 1194057398 | Arnee Miles | Physician Assistant | 30 Medical Center Blvd, Suite 305, Upland, PA 19013 | 2010-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223251 | Timothy M Goco | Nurse Practitioner | 300 N Euclid Ave Ste B, Upland, CA 91786-8323 | 2020-04-15 |
| 1720628605 | Chun Tien Shen | Nurse Practitioner | 980 E Foothill Blvd Ste 101, Upland, CA 91786-4068 | 2020-01-08 |
| 1306306766 | Girlielyn Sy Tiu | Nurse Practitioner | 630 N 13th Ave Ste A, Upland, CA 91786-4978 | 2019-03-21 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1093252926 | Catalina J. Howland | Nurse Practitioner | 885 Kimberly Ct, Upland, CA 91784-1208 | 2017-01-30 |
| 1962946418 | Alexandro Fernandez | Nurse Practitioner | 1032 W 23rd St, Upland, CA 91784-1215 | 2016-12-16 |
| 1467825901 | Caremore Health Plan | Nurse Practitioner | 141 W. Foothill Blvd., Upland, CA 91786 | 2015-11-05 |
| 1821492836 | Advanced Healthcare for Women & Children, A Nursing Corporation | Nurse Practitioner | 600 N Mountain Ave Ste A104, Upland, CA 91786-4359 | 2014-10-20 |
| 1518360437 | Honeyleen Reyes | Nurse Practitioner | 918 W Foothill Blvd Ste A, Upland, CA 91786-3772 | 2014-10-06 |
| 1073915690 | Janilyn Sherman | Nurse Practitioner | 1060 E Foothill Blvd Ste 103, Upland, CA 91786-4070 | 2014-09-26 |
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| 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.