Individual provider · Type 1 NPI

Keely McClatchy, MSN, CPNP-PC

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1053949776 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1000 Map

Mailing address

418 Campbell Ave
Havertown, PA 19083-1633

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP021691 (PA)
Pediatric Registered Nurse 163WP0200XRN650160 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053949776

Keely McClatchy, MSN, CPNP-PC's National Provider Identifier is 1053949776, issued on Mar 29, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 29, 2020.