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Derek Gonsalves
Licensed Practical Nurse in Plymouth Meeting, Pennsylvania
NPI 1710168562

Derek Gonsalves is a Licensed Practical Nurse based in Philadelphia, PA. Derek Gonsalves practices in Plymouth Meeting, PA. The NPI Number for Derek Gonsalves is 1710168562 and holds a License No. PN273838 (Pennsylvania).

The current practice location address for Derek Gonsalves is 2250 Hickory Rd, Plymouth Meeting, PA and can be reached out via phone at 610-834-1122 and via fax at 610-825-1604.

Location: 2250 Hickory Rd, Plymouth Meeting, PA, 19133-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710168562
Provider Name
Derek Gonsalves
Credential
Provider Entity Type
Individual
Gender
Male
Address
2250 Hickory Rd, Plymouth Meeting, PA, 19133-3301
Phone Number
610-834-1122
Fax Number
610-825-1604
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2250 Hickory Rd
City
Plymouth Meeting
State
Pennsylvania
Zip
19462-1047
Phone Number
610-834-1122
Fax Number
610-825-1604
person
Provider Business Mailing Address Details
Address
2250 Hickory Rd
City
Plymouth Meeting
State
Pennsylvania
Zip
19462-1047
Phone Number
610-834-1122
Fax Number
610-825-1604
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN273838 (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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