Individual provider · NPI-1

Margot Antonello, CRNP

Nurse Practitioner, Family · Wynnewood, PA

NPI number1720657182
StatusActive
Last updated in NPPESFeb 18, 2025

Details

NPI
1720657182
Entity type
Individual (NPI-1)
Name
Margot Antonello
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2021
Certification date
Feb 18, 2025
Last updated
Feb 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP023739PAYes
363L00000X Nurse PractitionerSP023739PA

Practice location

100 E Lancaster Ave Ste 560
Wynnewood, PA 19096-3450

Phone 610-649-1922 · Fax 610-649-2121

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336

Phone 484-337-1632

Other practice locations

1001 Chesterbrook Blvd
Berwyn, PA 19312-3805

Phone 610-576-7500

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