Individual provider · Type 1 NPI
Crystal Pak
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1033898903
Active
Practice location
111 S 11th St
Philadelphia, PA 19107-4824
Mailing address
231 Ashburn Rd
Phoenixville, PA 19460-4808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP026895 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1033898903
Crystal Pak's National Provider Identifier is 1033898903, issued on Jul 17, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 17, 2023.