Individual provider · Type 1 NPI
Nancy Olivia Chamberlain, AGNP
Primary Care Nurse Practitioner · Philadelphia, PA
NPI number
1336004100
Active
Practice location
4700 Wissahickon Ave Ste 119
Philadelphia, PA 19144-4248
Mailing address
4810 Conshohocken Ave
Philadelphia, PA 19131-2705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP034705 (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1336004100
Nancy Olivia Chamberlain, AGNP's National Provider Identifier is 1336004100, issued on Dec 23, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 23, 2025.