Provider Demographics
NPI:1366431207
Name:DRISCOLL, GERALD FRANCIS JR (CRNP)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:FRANCIS
Last Name:DRISCOLL
Suffix:JR
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 1:1488 MULBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1860
Mailing Address - Country:US
Mailing Address - Phone:488-132-0206
Mailing Address - Fax:
Practice Address - Street 1:3621 ARAMINGO AVE STE 5C
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4607
Practice Address - Country:US
Practice Address - Phone:215-444-7472
Practice Address - Fax:215-979-6726
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP005265H363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018226880002Medicaid
PA034507Medicare PIN
PAS96245Medicare UPIN