Individual provider · NPI-1

Beverly Ahern

Nurse Practitioner, Acute Care · Wynnewood, PA

NPI number1972327393
StatusActive
Last updated in NPPESFeb 18, 2025

Details

NPI
1972327393
Entity type
Individual (NPI-1)
Name
Beverly Ahern
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 12, 2024
Certification date
Feb 18, 2025
Last updated
Feb 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute CareSP030811PAYes
363L00000X Nurse PractitionerSP030811PA

Practice location

100 E Lancaster Ave
Heart Pavilion Mezzanine Level
Wynnewood, PA 19096-3450

Phone 484-476-1000

Mailing address

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

Phone 484-337-1632

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