Individual provider · Type 1 NPI
Dmitry Alexander Isaev, CRNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1194182287
Active
Practice location
800 Spruce Street, 1 Cathcart
Philadelphia, PA 19107-6130
Fax (215) 349-5890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP015788 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1194182287
Dmitry Alexander Isaev, CRNP's National Provider Identifier is 1194182287, issued on Jan 21, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 16, 2026.