Minuteclinic Primary Care Pennsylvania PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MINUTECLINIC PRIMARY CARE PENNSYLVANIA PLLC

Practice address

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616

Phone

(866) 389-2727

NPI assigned

Dec 6, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

PRIMARY CARE PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Pincince

Title

Administrator

Phone

(401) 770-3813

Specialties & licenses 1

Addresses

Part of

Primary Care PLLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1568278265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E LANCASTER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102616",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC PRIMARY CARE PENNSYLVANIA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PLLC",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Miller, PT
• Gian Milles
• Mindful Neuropsychological Services, PC
• Pierre Minerva, M.D.
• Minuteclinic Diagnostic of Pennsylvania LLC
• Sharon Mirakian, CRNA
• Sarim Mohammed Mirza, MD
• Vallabhi Mishra
• Anne B Mitchell, CRNP
• Holland Mittl

• Family Nurse Practitioner in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.