PATRICIA KIESER CZUDAK (NPI# 1952637910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952637910 |
| Entity Type | Individual |
| Full Name | PATRICIA KIESER CZUDAK |
| Practice Address |
2701 Blair Mill Road Suite 6 Willow Grove PA 19090 |
| Practice Telephone | 2152938800 |
| Practice Fax Number | 2152939053 |
| Mailing Telephone | 2152938800 |
| Mailing Fax Number | 2152939053 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
UP005053D | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2701 BLAIR MILL ROAD SUITE 6 |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790062172 | Danielle Nicole Altares | Nurse Practitioner | 2510 Maryland Rd Ste 160, Willow Grove, PA 19090-1137 | 2011-11-13 |
| 1942536909 | Lorileen C Bautista | Nurse Practitioner | 2701 Blair Mill Rd, Willow Grove, PA 19090-1041 | 2009-10-27 |
| 1427109867 | Marie Smolenski | Nurse Practitioner | 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 | 2007-01-14 |
| 1073693255 | Donna Lee Patterson | Nurse Practitioner | 2701 Blair Mill Rd, Suite 10, Willow Grove, PA 19090-1041 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1013523133 | Hollis Hartman Stewart | Nurse Practitioner | 4 Foxwood Dr, Pittsburgh, PA 15238-2106 | 2020-09-23 |
| 1639784713 | Danzeleen Motil Mascaro | Nurse Practitioner | 503 Natalie Ln, Norristown, PA 19401-3111 | 2020-09-15 |
| 1952913527 | Lindsey Baranik | Nurse Practitioner | 711 Lawn Ave Ste 5, Sellersville, PA 18960-1583 | 2020-08-17 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1871130120 | Alexandria Gustin | Nurse Practitioner | 500 Universisity Drive, Hershey, PA 17033-0858 | 2019-12-05 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1033674247 | Priscilla Korto A Tyler | Nurse Practitioner | 2509 Grove Ln, Trevose, PA 19053-6755 | 2019-02-01 |
| 1386108629 | Alison Leigh Kelley | Nurse Practitioner | 440 E Marshall St Fl 3, West Chester, PA 19380-5414 | 2019-01-30 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
Please comment or provide details below to improve the information on PATRICIA KIESER CZUDAK.
| 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.