Individual provider · Type 1 NPI
Kelly Rose Pucillo, CRNA
Certified Registered Nurse Anesthetist · Philadelphia, PA
Practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Mailing address
781 Argyle Rd
Glenside, PA 19038-1509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 128588 (PA) |
Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…
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About NPI 1194362939
Kelly Rose Pucillo, CRNA's National Provider Identifier is 1194362939, issued on Nov 27, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 27, 2019.