Provider Demographics
NPI:1548954647
Name:CRINO, SAMUEL FRANKLIN (CRNP)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:FRANKLIN
Last Name:CRINO
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LIBBY CT
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-1366
Mailing Address - Country:US
Mailing Address - Phone:267-272-5607
Mailing Address - Fax:
Practice Address - Street 1:800 W STATE ST STE 201
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-5842
Practice Address - Country:US
Practice Address - Phone:215-348-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily