Jacqueline Lee Cavallero, CRNP
Nurse Practitioner, Family in Thorndale, PA. Individual provider (NPI-1).
NPI number1306229786
StatusActive
Last updated in NPPESOct 27, 2015
Details
- NPI
- 1306229786
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacqueline Lee Cavallero
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2015
- Last updated
- Oct 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP015544 | PA | Yes |
Practice location
3015 Lincoln HwyThorndale, PA 19372-1114
Phone 610-462-8735
Mailing address
102 Birkdale CirAvondale, PA 19311-1449
Phone 610-462-8735
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All 7 Family Nurse Practitioner providers in Thorndale · All 112 providers in Thorndale
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