Individual provider · Type 1 NPI

Rolando Humberto Vega, CRNP

Primary Care Nurse Practitioner · Philadelphia, PA

NPI number 1104548221 Active

Practice location

3615 Chestnut Street, Ralston Penn Center
Philadelphia, PA 19104-2612

Fax (215) 349-5648

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XSP026270 (PA)
Primary Care Nurse Practitioner Primary 363LP2300XSP026270 (PA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1104548221

Rolando Humberto Vega, CRNP's National Provider Identifier is 1104548221, issued on Sep 15, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 21, 2026.