Individual provider · Type 1 NPI

Emily Vandegrift, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1104270669 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1000 Map

Mailing address

711 Hunt Ln
Flourtown, PA 19031-1001

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	2011017443 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104270669

Emily Vandegrift, CRNP's National Provider Identifier is 1104270669, issued on Apr 20, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 20, 2016.