Jennifer Maszarose
Individual provider Active NPI Family Nurse Practitioner · Chesterbrook, PA
NPI 1245906155 · NPPES record last updated Aug 19, 2021
Key facts
- NPI
- 1245906155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP024272 (PA)
- Practice address
- 68 Militia Hill Dr
Chesterbrook, PA 19087-5846 - Phone
- (260) 417-1697
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN734843 | PA | MD | Registered Nurse |
| SP024272 | PA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN734843 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP024272 | PA | Yes |
Addresses
Primary practice location
68 Militia Hill Dr
Chesterbrook, PA 19087-5846
Mailing address
68 Militia Hill Dr
Chesterbrook, PA 19087-5846
Phone (260) 417-1697
Other providers in Chesterbrook, PA
- Diane Lorraine Lemons
- Main Line Home Therapy, LLC
- Main Line Inntegrative and Functional Medicine
- Theodora Malinowski
- Nicole Marchetto
- Stacy Lee McAllister
- Erin McCarthy
- Emma A Mellon
- Evan Jerry Mulhearn
- Abraham Kwadu Munabi
All providers in Chesterbrook, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.