Individual provider · Type 1 NPI
Charles Pankow Jr., CRNP
Nurse Practitioner · Philadelphia, PA
Practice location
330 South Ninth Street
Philadelphia, PA 19107-6103
Fax (215) 829-6606
Other practice locations
- 13685 Doctors Way Ste 350, Fort Myers, FL 33912-4347 · (239) 343-3800
- 3132 Royal Gardens Ave, Fort Myers, FL 33916-4580 · (239) 994-3350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11033483 (FL) |
| Nurse Practitioner Primary | 363L00000X | SP034276 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
8 other providers at this address
- Charles Francis Palmer Iii, MDNeurology Physician Philadelphia, PA NPI 1396306767
- Holly Constance Elser, MD, PhDNeurology Physician Philadelphia, PA NPI 1396329454
- Lauren Hart Hammer, MDNeurology Physician Philadelphia, PA NPI 1174918122
- Lindsay Agostinelli, MD, PhDNeurology Physician Philadelphia, PA NPI 1861079675
- Moira England Flanigan, MDNeurology Physician Philadelphia, PA NPI 1497115299
- Patrick Thomas Ebbert, MDNeurology Physician Philadelphia, PA NPI 1851928519
- Rebecca Williamson, MDNeurology Physician Philadelphia, PA NPI 1316438914
- Stephen D. Aradi, MDNeurology Physician Philadelphia, PA NPI 1518352996
Other nurse practitioner providers in Philadelphia
- Johanna Marie Farinella, NURSE PRACTITIONERNurse Practitioner Philadelphia, PA NPI 1003301920
- Caroline Bloss, CRNPNurse Practitioner Philadelphia, PA NPI 1003582008
- Nicollette ColleluoriNurse Practitioner Philadelphia, PA NPI 1003703331
- Faith Mutale, CRNPNurse Practitioner Philadelphia, PA NPI 1003964586
- Mehrnaz Ghorashi, NPNurse Practitioner Philadelphia, PA NPI 1013315670
- Chrisline Nicolas, CRNPNurse Practitioner Philadelphia, PA NPI 1013441906
- Lindsay Spera, APRNNurse Practitioner Philadelphia, PA NPI 1013472240
- Victoria Nicole Golson, CRNP-PCNurse Practitioner Philadelphia, PA NPI 1013476134
About NPI 1174366884
Charles Pankow Jr., CRNP's National Provider Identifier is 1174366884, issued on Jun 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 18, 2026.