Individual provider · Type 1 NPI

Carol Ann Vincent, CRNP, PhD

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1245498310 Active

Practice location

3400 Civic Center Blvd, Oncology Clinic
Philadelphia, PA 19104-5127

Mailing address

3501 Civic Center Boulevard, Ctrb, 4th Floor, Room 4019
Philadelphia, PA 19104

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200XRN267850L (PA)
Pediatric Nurse Practitioner Primary 363LP0200XTP003420N (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1245498310

Carol Ann Vincent, CRNP, PhD's National Provider Identifier is 1245498310, issued on May 27, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 4, 2015.