Individual provider · Type 1 NPI
Caroline Nelson, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1114874286
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
161 Leverington Ave Apt 408
Philadelphia, PA 19127-2033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP035536 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114874286
Caroline Nelson, CRNP's National Provider Identifier is 1114874286, issued on Mar 16, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 16, 2026.